Jon David Cross, MSW, LCSW, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004016349 Issued in MO

Practice address

3923 S Lynn CT
Independence, MO 64055-3337

Phone

(816) 836-2220

Fax

(816) 836-3567

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Midwest Adp Inc

  • Community/Behavioral Health Agency
  • Independence, MO
  • NPI 1821263211
  NPD (past)
• Midwest Adp, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Independence, MO
  • NPI 1447391917
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417984436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18481 NORTHWIND DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660448348",
            "telephone_number": "816-651-6600",
            "fax_number": "816-836-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 S LYNN CT",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553337",
            "telephone_number": "816-836-2220",
            "fax_number": "816-836-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JON",
        "middle_name": "DAVID",
        "credential": "MSW, LCSW, LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004016349",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35903013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syble Jean Cretzmeyer, NP
• Amber Suzanne Crist, BCBA
• Sheena M Criswell, C.P.M.
• Daneisha Clara Crofton
• Charity D Cromley, MS CCC SLP
• Rebecca Cross, MD
• Melissa Liticia Crossette, CRNA
• Crossroads Hospice of Kansas City
• Crossroads Hospice of Kansas City LC
• Phoebe J Crouch, PLPC

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.