Active NPI
Kelly Lemmon, LMSW
- Social Worker
- Saint Joseph, MO
National Provider Identifier
1407308588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2016036979
- Practice address
- 3500 Village Dr
Garden Level 30
Saint Joseph, MO 64506-4979 - Phone
- (816) 545-9203
- Fax
- (816) 279-3311
- NPI assigned
- Oct 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2016036979 | MO | Primary |
| Social Worker | 104100000X | 9470 | KS |
Addresses
Primary practice location
3500 Village Dr
Garden Level 30
Saint Joseph, MO 64506-4979
Mailing address
3500 Village Dr
Garden Level 30
Saint Joseph, MO 64506-4979
Phone (816) 545-9203
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9470 | KS | MD | Social Worker |
| 2016036979 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1407308588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 VILLAGE DR",
"address_2": "GARDEN LEVEL 30",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645064979",
"telephone_number": "816-545-9203",
"fax_number": "816-279-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 VILLAGE DR",
"address_2": "GARDEN LEVEL 30",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645064979",
"telephone_number": "816-545-9203",
"fax_number": "816-279-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMMON",
"first_name": "KELLY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2016036979",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "9470",
"primary": false
}
],
"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 Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.