Individual provider Active NPI

Charles Foshee, LCSW

  • Social Worker
  • Lees Summit, MO
National Provider Identifier
1306901210
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
003935 Issued in MO
Practice address
409 SE Douglas St
Lees Summit, MO 64063-4246
Phone
(816) 578-4548
Fax
(816) 774-8132
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 003935 MO Primary

Addresses

Primary practice location

409 SE Douglas St
Lees Summit, MO 64063-4246

Mailing address

99 Z St
Lake Lotawana, MO 64086-9769
Phone (816) 365-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003935MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City University Past Accepting new patients
Memoir Counseling, LLC PastSince Apr 5, 2020 Accepting new patients
Kansas City Psychiatric and Psychological Services, LLC Social Worker Past Accepting new patients
Midwest Psychiatric Consultants, P.C. PastSince Apr 20, 1998 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1306901210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 Z ST",
            "city": "LAKE LOTAWANA",
            "state": "MO",
            "postal_code": "640869769",
            "telephone_number": "816-365-4070",
            "fax_number": "816-774-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634246",
            "telephone_number": "816-578-4548",
            "fax_number": "816-774-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSHEE",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "003935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.