Active NPI
Maria E Kallis, LMSW
- Social Worker
- Mexico, MO
National Provider Identifier
1326826769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2023036454
- Practice address
- 409 Woodlawn St
Mexico, MO 65265-3144 - Phone
- (573) 660-3347
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2023036454 | MO | Primary |
Addresses
Primary practice location
409 Woodlawn St
Mexico, MO 65265-3144
Mailing address
409 Woodlawn St
Mexico, MO 65265-3144
Phone (573) 660-3347
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023036454 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1326826769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 WOODLAWN ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653144",
"telephone_number": "573-660-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 WOODLAWN ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653144",
"telephone_number": "573-660-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLIS",
"first_name": "MARIA",
"middle_name": "E",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2023036454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.