Active NPI
Kenya R Hicks
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1356964738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2020034558
- Practice address
- 13106 E 57TH St
Kansas City, MO 64133-3615 - Phone
- (816) 674-2657
- NPI assigned
- May 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2015040798 | MO | |
| Clinical Social Worker | 1041C0700X | 2020034558 | MO | Primary |
Addresses
Primary practice location
13106 E 57TH St
Kansas City, MO 64133-3615
Mailing address
13106 E 57TH St
Kansas City, MO 64133-3615
Phone (816) 674-2657
Other practice location 1
2901 Troost Ave
Kansas City, MO 64109-1538
Phone (816) 418-1757
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 |
|---|---|---|---|
| 2020034558 | MO | MD | Clinical Social Worker |
| 2015040798 | MO | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Clear Consulting Group | Clinical | Current | Accepting new patients |
Interoperability endpoints
- kenyaanthonyhicks@tdh.allscriptsdirect.net
Organizations & group practices 2
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": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1356964738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13106 E 57TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641333615",
"telephone_number": "816-674-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13106 E 57TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641333615",
"telephone_number": "816-674-2657"
}
],
"practiceLocations": [
{
"address_1": "2901 Troost Ave",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641091538",
"country_code": "US",
"telephone_number": "816-418-1757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "KENYA",
"middle_name": "R",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2021-01-08",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MO",
"license": "2015040798",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2020034558",
"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 Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.