Individual provider Active NPI

Jill K. Hazell, MSW

  • Clinical Social Worker
  • Parkville, MO
National Provider Identifier
1447472311
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2008037361 Issued in MO
Practice address
7400 NW River Park Dr
Parkville, MO 64152-5028
Phone
(816) 777-0356
Fax
(816) 777-0360
NPI assigned
May 2, 2007
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2008037361 MO Primary

Addresses

Primary practice location

7400 NW River Park Dr
Parkville, MO 64152-5028

Mailing address

400 E. 6TH St.
Parkville, MO 64152
Phone (816) 587-4100

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

LicenseStateTypeSpecialty
2008037361MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1447472311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E. 6TH ST.",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "64152",
            "telephone_number": "816-587-4100",
            "fax_number": "816-587-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 NW RIVER PARK DR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641525028",
            "telephone_number": "816-777-0356",
            "fax_number": "816-777-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELL",
        "first_name": "JILL",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008037361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.