Individual provider Active NPI

Lakiesha Latoshia McCrorey, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1295003952
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021005484 Issued in MO
Practice address
5904 E Bannister Rd
Kansas City, MO 64134-1141
Phone
(816) 966-0900
Fax
(816) 966-0900
NPI assigned
Dec 9, 2011
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26954 TX
Social Worker 104100000X 52441 TX
Clinical Social Worker 1041C0700X 2021005484 MO Primary

Addresses

Primary practice location

5904 E Bannister Rd
Kansas City, MO 64134-1141

Mailing address

1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 347-3069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222001845 MO Practitioner - Clinical Social Worker 8325453533 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26954TXMDAddiction (Substance Use Disorder) Counselor
52441TXMDSocial Worker
2021005484MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical CurrentSince Feb 17, 2025 Accepting new patients
Compass Health, Inc CurrentSince Feb 17, 2025 Accepting new patients
Rediscover CurrentSince Oct 10, 2022 Accepting new patients
Rediscover CurrentSince Oct 10, 2022 Accepting new patients
The Harris Center for Mental Health and Idd PastSince Feb 19, 2019 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

300 Galaxie Ave
Harrisonville, MO 64701
Phone (816) 380-5167

5904 E Bannister Rd
Kansas City, MO 64134
Phone (816) 966-0903

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1295003952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-347-3069",
            "fax_number": "163-473-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 E BANNISTER RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341141",
            "telephone_number": "816-966-0900",
            "fax_number": "816-966-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROREY",
        "first_name": "LAKIESHA",
        "middle_name": "LATOSHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "26954",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "52441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021005484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.