Individual provider Active NPI

Jennifer Worth, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1386681864
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2013015050 Issued in MO
Practice address
4700 Belleview Ave Ste 100a
Kansas City, MO 64112-1410
Phone
(816) 312-5451
Fax
(816) 207-0486
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2013015050 MO Primary
Social Worker 104100000X 5923 KS

Addresses

Primary practice location

4700 Belleview Ave Ste 100a
Kansas City, MO 64112-1410

Mailing address

4700 Belleview Ave Ste 100a
Kansas City, MO 64112-1410
Phone (816) 312-5451

Other identifiers 2

IdentifierTypeStateIssuer
14674OtherKSPREFERRED HEALTH SYSTEMS
835235OtherKSBLUE CROSS BLUE SHIELD

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
I20131021000678 MO Practitioner - Clinical Social Worker 2961637392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer Worth MSW LCSW LLCGroup PAC ID 0143657221, 7 clinicians

Practice addresses (Care Compare)

4700 Belleview Ave
Suite 100a
Kansas City, MO 64112-1410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5923KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Worth MSW, LCSW, LLC CurrentSince Jun 26, 2015 Accepting new patients
Foundational Concepts, Inc. CurrentSince Jul 9, 2018 Accepting new patients

Locations

6701 W 121st St
Ste 300
Overland Park, KS 66209
Phone (816) 312-5451

601 E 63rd St
Ste 230
Kansas City, MO 64110
Phone (816) 312-5451

4700 Belleview Ave
Ste 100
Kansas City, MO 64112
Phone (816) 312-5451

4700 Belleview Ave
Ste 100A
Kansas City, MO 64112
Phone (816) 312-5451

4700 Belleview Ave
Ste 415
Kansas City, MO 64112
Phone (816) 529-2802

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1386681864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE STE 100A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121410",
            "telephone_number": "816-312-5451",
            "fax_number": "816-207-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE STE 100A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121410",
            "telephone_number": "816-312-5451",
            "fax_number": "816-207-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013015050",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "14674",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "835235",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.