Individual provider Active NPI

Natasha Klutts, LSCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1427447796
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4843 Issued in KS
Practice address
1715 E Cedar St Ste 112
Olathe, KS 66062-1791
Phone
(210) 325-9823
NPI assigned
Jan 9, 2015
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7645 KS
Clinical Social Worker 1041C0700X 4843 KS Primary

Addresses

Primary practice location

1715 E Cedar St Ste 112
Olathe, KS 66062-1791

Mailing address

32957 W 207TH St
Edgerton, KS 66021-9406
Phone (210) 325-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190429000112 KS Practitioner - Clinical Social Worker 7719227305 Practice locations: Edgerton, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edgerton, KS 66021
Phone (210) 325-9823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7645KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Building a Family Collective Clinical Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1427447796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32957 W 207TH ST",
            "city": "EDGERTON",
            "state": "KS",
            "postal_code": "660219406",
            "telephone_number": "210-325-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E CEDAR ST STE 112",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621791",
            "telephone_number": "210-325-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUTTS",
        "first_name": "NATASHA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.