Individual provider Active NPI

Barry L. McAnulty, MSW, LCSW, LSCSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1285693200
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002203 Issued in MO
Practice address
521 SE 2ND St
Suite, C
Lees Summit, MO 64063-2646
Phone
(816) 554-0912
Fax
(816) 554-0916
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1591 KS
Clinical Social Worker 1041C0700X 002203 MO Primary

Addresses

Primary practice location

521 SE 2ND St
Suite, C
Lees Summit, MO 64063-2646

Mailing address

2908 NW Thoreau Dr
Lees Summit, MO 64081-2264
Phone (816) 554-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002203MOMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1285693200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 NW THOREAU DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812264",
            "telephone_number": "816-554-0912",
            "fax_number": "816-554-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SE 2ND ST",
            "address_2": "SUITE, C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632646",
            "telephone_number": "816-554-0912",
            "fax_number": "816-554-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANULTY",
        "first_name": "BARRY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1591",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.