Organization Active NPI

LCSW, Inc

  • Clinical Social Worker
  • Independence, MO
National Provider Identifier
1306162227
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003342 Issued in MO
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

Updated by the provider on Apr 16, 2010

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1346270378MedicaidMO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.