Individual provider Active NPI

Jennifer A Eick-Jakiela, LCSW

  • Clinical Social Worker
  • Butler, MO
National Provider Identifier
1306014428
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017022032 Issued in MO
Practice address
617 W Nursery St
Butler, MO 64730-1840
Phone
(660) 200-7133
Fax
(660) 200-2396
NPI assigned
Feb 11, 2008
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2017022032 MO Primary

Addresses

Primary practice location

617 W Nursery St
Butler, MO 64730-1840

Mailing address

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

Other practice location 1

757 Armstrong Ave
Kansas City, KS 66101-2701
Phone (913) 233-3300 ext. 44

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.bcmhospital.com/ Other

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
I20190509000798 MO Practitioner - Clinical Social Worker 1052653243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer Worth MSW LCSW LLCGroup PAC ID 0143657221, 7 clinicians

Practice addresses (Care Compare)

4700 Belleview Ave
Suite 100a
Kansas City, MO 64112-1410
Phone (816) 312-5451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017022032MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Worth MSW, LCSW, LLC CurrentSince Feb 8, 2023 Accepting new patients

Locations

4700 Belleview Ave
Ste 100
Kansas City, MO 64112
Phone (816) 312-5451

4700 Belleview Ave
Ste 100A
Kansas City, MO 64112
Phone (816) 312-5451

Interoperability endpoints

  • Direct secure messaging: jennifereickjakiela@mhccaremail.com

Organizations & group practices 1

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1306014428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000",
            "fax_number": "660-200-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7133",
            "fax_number": "660-200-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Armstrong Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661012701",
            "country_code": "US",
            "telephone_number": "913-233-3300 x44",
            "fax_number": "913-233-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICK-JAKIELA",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017022032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.bcmhospital.com/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "http://www.bcmhospital.com/",
            "address_1": "617 W Nursery St",
            "city": "Butler",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647301840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.