Individual provider Active NPI

Kellie Galley, MSW, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1356663009
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017029576 Issued in MO
Practice address
7211 NW 83Rd St Ste 350
Kansas City, MO 64152-6028
Phone
(816) 599-3615
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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 2017029576 MO Primary

Addresses

Primary practice location

7211 NW 83Rd St Ste 350
Kansas City, MO 64152-6028

Mailing address

7211 NW 83Rd St Ste 350
Kansas City, MO 64152-6028
Phone (816) 599-3615

Other practice location 1

500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118

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

LicenseStateTypeSpecialty
2017029576MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Counseling Service LLC Social Worker Current Accepting new patients

Locations

5775 NW 64th Ter
Ste 201
Kansas City, MO 64151
Phone (816) 746-5352

Organizations & group practices 1

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1356663009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 350",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526028",
            "telephone_number": "816-599-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST STE 350",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526028",
            "telephone_number": "816-599-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Limit St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660484435",
            "country_code": "US",
            "telephone_number": "913-682-5118",
            "fax_number": "913-682-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEY",
        "first_name": "KELLIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017029576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.