Individual provider Active NPI

Abby E Wiggins, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1316593635
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019030044 Issued in MO
Practice address
2001 NE Parvin Rd
Kansas City, MO 64116-2446
Phone
(816) 587-4100
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2019030044 MO Primary

Addresses

Primary practice location

2001 NE Parvin Rd
Kansas City, MO 64116-2446

Mailing address

6606 S Elm St
Pleasant Valley, MO 64068-9590

Other identifiers 1

IdentifierTypeStateIssuer
2019030044OtherMOSTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003933 MO Practitioner - Clinical Social Worker 6709311707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Holly L RamaekerGroup PAC ID 3274907530, 6 clinicians

Practice addresses (Care Compare)

1420 NW Vivion Rd
Suite 108
Kansas City, MO 64118-4511
Phone (816) 366-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019030044MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holly L. Ramaeker CurrentSince Nov 5, 2024 Accepting new patients
Synergy Services Inc Past Accepting new patients

Locations

1420 NW Vivion Rd
Ste 108
Kansas City, MO 64118
Phone (816) 329-9107

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1316593635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 S ELM ST",
            "city": "PLEASANT VALLEY",
            "state": "MO",
            "postal_code": "640689590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NE PARVIN RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162446",
            "telephone_number": "816-587-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ABBY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019030044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2019030044",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.