Individual provider Active NPI

Koren Emily O'Rourke, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1306074174
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05598 Issued in KS
Practice address
11900 College Blvd Ste 310
Overland Park, KS 66210-4048
Phone
(913) 585-4368
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7416 KS
Clinical Social Worker 1041C0700X 05598 KS Primary

Addresses

Primary practice location

11900 College Blvd Ste 310
Overland Park, KS 66210-4048

Mailing address

12802 Stearns St
Overland Park, KS 66213-3440
Phone (816) 898-5321

Other practice location 1

21350 W 153rd St
Olathe, KS 66061-5413
Phone (913) 322-2400

Other practice location 2

7500 W 160th St Ste 100
Stilwell, KS 66085-8100
Phone (913) 404-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240529003632 KS Practitioner - Clinical Social Worker 6507208097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7416KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1306074174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 STEARNS ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662133440",
            "telephone_number": "816-898-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 COLLEGE BLVD STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104048",
            "telephone_number": "913-585-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21350 W 153rd St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660615413",
            "country_code": "US",
            "telephone_number": "913-322-2400",
            "fax_number": "913-621-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 W 160th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stilwell",
            "state": "KS",
            "postal_code": "660858100",
            "country_code": "US",
            "telephone_number": "913-404-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KOREN",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7416",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.