Individual provider Active NPI

Jean Marie West, PLCSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1457443731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2006022683 Issued in MO
Practice address
1724 8TH Ave
Saint Joseph, MO 64505-1811
Phone
(816) 262-4494
Fax
(816) 671-4088
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2006022683 MO Primary

Addresses

Primary practice location

1724 8TH Ave
Saint Joseph, MO 64505-1811

Mailing address

1614 S 39TH St
Saint Joseph, MO 64507-2308
Phone (816) 364-5359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140422000242 MO Practitioner - Clinical Social Worker 9931331139 Practice locations: Saint Joseph, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Saint Joseph, MO 64507
Phone (816) 273-8847

1614 S 39TH St
Saint Joseph, MO 64507-2308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006022683MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Welfare Board of the County of Buchanan Past Accepting new patients
Lifes Journey Counseling Services Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jean.west.1@25988.direct.athenahealth.com

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457443731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 S 39TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072308",
            "telephone_number": "816-364-5359",
            "fax_number": "816-671-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 8TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645051811",
            "telephone_number": "816-262-4494",
            "fax_number": "816-671-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "PLCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006022683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.