Active NPI
Kellie Galley, MSW, LCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1356663009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2017029576
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017029576 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Social Worker
- Kansas City, MO
- NPI 1174450860
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.