Individual provider Active NPI

Melissa Oeffner

  • Clinical Social Worker
  • Gladstone, MO
National Provider Identifier
1376082446
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005006824 Issued in MO
Practice address
119 NE 72ND St
Gladstone, MO 64118-1826
Phone
(816) 420-8419
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 2005006824 MO Primary

Addresses

Primary practice location

119 NE 72ND St
Gladstone, MO 64118-1826

Mailing address

119 NE 72ND St
Gladstone, MO 64118-1826
Phone (913) 568-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403000046 MO Practitioner - Clinical Social Worker 6406131549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

119 NE 72ND St
Oeffner Counseling Services
Gladstone, MO 64118-1826
Phone (816) 420-8419

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400

Merit-based Incentive Payment System (MIPS)

Final score
64.92 of 100Reported as group
Quality
36.72
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005006824MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services, Inc. CurrentSince Mar 24, 2017 Accepting new patients
Melo Enterprises LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

119 NE 72nd St
Kansas City, MO 64118
Phone (816) 420-3130

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1376082446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NE 72ND ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181826",
            "telephone_number": "913-568-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NE 72ND ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181826",
            "telephone_number": "816-420-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEFFNER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005006824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.