Individual provider Active NPI

Elizabeth Leona Hunter-Blank, LCSW,LSCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1295763548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1999135382 Issued in MO
Practice address
4104 Central St
Kansas City, MO 64111-2307
Phone
(816) 582-3877
Fax
(913) 362-5597
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1999135382 MO Primary
Clinical Social Worker 1041C0700X 2075 KS

Addresses

Primary practice location

4104 Central St
Kansas City, MO 64111-2307

Mailing address

6512 Overbrook Rd
Mission Hills, KS 66208-1940
Phone (816) 582-3877

Other identifiers 1

IdentifierTypeStateIssuer
494763600MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295763548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 OVERBROOK RD",
            "city": "MISSION HILLS",
            "state": "KS",
            "postal_code": "662081940",
            "telephone_number": "816-582-3877",
            "fax_number": "913-362-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 CENTRAL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112307",
            "telephone_number": "816-582-3877",
            "fax_number": "913-362-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER-BLANK",
        "first_name": "ELIZABETH",
        "middle_name": "LEONA",
        "name_prefix": "Ms.",
        "credential": "LCSW,LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "1999135382",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494763600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.