Organization Active NPI

Catholic Charities of Kansas City-St. Joseph, Inc.

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1376763516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4307 Issued in MO
Legal business name
CATHOLIC CHARITIES OF KANSAS CITY-ST. JOSEPH, INC.
Practice address
902 Edmond St Ste 204
Saint Joseph, MO 64501-2762
Phone
(816) 232-2885
NPI assigned
Apr 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Smith, LCSW
Title
Counselor
Phone
(816) 232-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 4307 MO Primary

Addresses

Primary practice location

902 Edmond St Ste 204
Saint Joseph, MO 64501-2762

Mailing address

2816 Charles St
Saint Joseph, MO 64501-3339
Phone (816) 233-1324

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of Kansas City-St Joseph Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

902 Edmond St
Ste 204
Saint Joseph, MO 64501
Phone (816) 232-2885

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376763516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 CHARLES ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013339",
            "telephone_number": "816-233-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST STE 204",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-232-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF KANSAS CITY-ST. JOSEPH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "816-232-2885",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.