Individual provider Active NPI

Patricia L Martell, LCSW

  • Clinical Social Worker
  • Prairie Village, KS
National Provider Identifier
1346270378
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW003342 Issued in MO
Practice address
8016 State Line Rd Ste 205
Prairie Village, KS 66208-3713
Phone
(816) 401-4976
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 SW003342 MO Primary

Addresses

Primary practice location

8016 State Line Rd Ste 205
Prairie Village, KS 66208-3713

Mailing address

420 E 73Rd St
Kansas City, MO 64131-1621
Phone (816) 401-4976

Other practice location 1

420 E 73rd St
Kansas City, MO 64131-1621
Phone (816) 401-4976

Other identifiers 1

IdentifierTypeStateIssuer
27228051OtherMOBLUE CROSS BLUE SHIELD OF KANSAS CITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081229000265 MO Practitioner - Clinical Social Worker 2769544790 Practice locations: Kansas City, MO
I20191118001848 KS Practitioner - Clinical Social Worker 2769544790 Practice locations: Prairie Village, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 E 73Rd St
Kansas City, MO 64131-1621
Phone (816) 401-4976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW003342MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1346270378",
    "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": "816-401-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 STATE LINE RD STE 205",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083713",
            "telephone_number": "816-401-4976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 73rd St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311621",
            "country_code": "US",
            "telephone_number": "816-401-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW003342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "27228051",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.