Kelly Ann England, LCSW
Individual provider Active NPI Clinical Social Worker · Kansas City, MO
NPI 1356541908 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1356541908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2009007168 (MO)
- Practice address
- 4801 E Linwood Blvd
M9-229
Kansas City, MO 64128-2226 - Phone
- (816) 590-0354
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014522 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 001129 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 014522 | MI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001129 | OR | |
| Clinical Social Worker | 1041C0700X | 2009007168 | MO | Yes |
Addresses
Primary practice location
4801 E Linwood Blvd
M9-229
Kansas City, MO 64128-2226
Mailing address
4801 E Linwood Blvd
M9-229
Kansas City, MO 64128-2226
Other names
- Kelly Ann Mills-Fuchs-Winship
NPI Registry JSON
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1356541908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"address_2": "M9-229",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"address_2": "M9-229",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-590-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLAND",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "014522",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "001129",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2009007168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "MILLS-FUCHS-WINSHIP",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
- Kalista Trombley Engelman
- Luke Engelman
- Peter Christopher Engelman
- Ann M Engemann
- Alexander England
- Nancy Dee Engle
- Kendra Engleman
- Connor Joseph English
- Bailey Rose Englund
- Enlite of Care Nurse Assistants
All providers in Kansas City, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.