Active NPI
Jennifer A Eick-Jakiela, LCSW
- Clinical Social Worker
- Butler, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2017022032
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017022032 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Worth MSW, LCSW, LLC | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.