Active NPI
LCSW, Inc
- Clinical Social Worker
- Independence, MO
National Provider Identifier
1306162227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 003342
- Legal business name
- LCSW, INC
- Practice address
- 12600 E 40 Hwy
Independence, MO 64055-5955 - Phone
- (816) 753-3333
- Fax
- (816) 478-8888
- NPI assigned
- Apr 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia L Martell, LCSW
- Title
- President
- Phone
- (816) 401-4976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003342 | MO | Primary |
Addresses
Primary practice location
12600 E 40 Hwy
Independence, MO 64055-5955
Mailing address
420 E 73Rd St
Kansas City, MO 64131-1621
Phone (816) 361-3019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346270378 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271376000000",
"number": "1306162227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 73RD ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311621",
"telephone_number": "816-361-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 E 40 HWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555955",
"telephone_number": "816-753-3333",
"fax_number": "816-478-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCSW, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-16",
"last_updated": "2010-04-16",
"status": "A",
"authorized_official_last_name": "MARTELL",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-401-4976",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "003342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346270378",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.