Active NPI
Shelly Renea Simpson, LSCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1386798411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2013041160
- Practice address
- 6155 Oak St
Suite E
Kansas City, MO 64113-2240 - Phone
- (816) 333-0606
- NPI assigned
- Jan 23, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6652 | KS | |
| Clinical Social Worker | 1041C0700X | 4086 | KS | |
| Clinical Social Worker | 1041C0700X | 2013041160 | MO | Primary |
Addresses
Primary practice location
6155 Oak St
Suite E
Kansas City, MO 64113-2240
Mailing address
5732 N Beaman Ave
Kansas City, MO 64151-3284
Phone (816) 830-4290
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6652 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BPH LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1386798411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5732 N BEAMAN AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641513284",
"telephone_number": "816-830-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6155 OAK ST",
"address_2": "SUITE E",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641132240",
"telephone_number": "816-333-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "SHELLY",
"middle_name": "RENEA",
"name_prefix": "Mrs.",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "6652",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4086",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2013041160",
"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 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.