Individual provider Active NPI

Melissa Imm, LMSW

  • Social Worker
  • Kansas City, MO
National Provider Identifier
1366299711
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12573 Issued in KS
Practice address
8150 Wornall Rd
Kansas City, MO 64114-5806
Phone
(816) 508-3500
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12573 KS Primary

Addresses

Primary practice location

8150 Wornall Rd
Kansas City, MO 64114-5806

Mailing address

4501 W 69TH St
Prairie Village, KS 66208-2541
Phone (913) 544-9137

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
12573KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones of Care Social Worker CurrentSince Feb 9, 2025 Accepting new patients
Gillis Center, Inc. PastSince May 7, 2024 Accepting new patients

Locations

8150 Wornall Rd
Kansas City, MO 64114
Phone (816) 508-3500

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1366299711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 W 69TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082541",
            "telephone_number": "913-544-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145806",
            "telephone_number": "816-508-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMM",
        "first_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12573",
            "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 May 3, 2024; 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.