Active NPI
Kelli Elizabeth Verble, LMSW
- Social Worker
- Saint Joseph, MO
National Provider Identifier
1437457314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2015038825
- Practice address
- 3505 Frederick Ave
Saint Joseph, MO 64506-2914 - Phone
- (816) 387-2624
- NPI assigned
- Mar 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7983 | KS | |
| Social Worker | 104100000X | 2015038825 | MO | Primary |
Addresses
Primary practice location
3505 Frederick Ave
Saint Joseph, MO 64506-2914
Mailing address
3505 Frederick Ave
Saint Joseph, MO 64506-2914
Phone (816) 387-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 8, 2024 through May 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7983 | KS | MD | Social Worker |
| 2015038825 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1437457314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062914",
"telephone_number": "816-387-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062914",
"telephone_number": "816-387-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERBLE",
"first_name": "KELLI",
"middle_name": "ELIZABETH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7983",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2015038825",
"primary": true
}
],
"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 May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.