Nicole Durtschi, LMSW – Social Worker in Raymore, MO

Key facts

NPI: 1487397287
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 2011007254 (MO)
Practice address: 715 Corrington Dr
Raymore, MO 64083-8271
Phone: (816) 260-2485
NPI assigned: Apr 19, 2022
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Carelon Medical Partners, PC Hospice and Palliative Medicine (Internal Medicine) Physician · Nashville, TN · NPI 1124443403

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
5533	KS	MD	Social Worker
2011007254	MO	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Carelon Medical Partners, PC		Current since Dec 18, 2022	Accepting new patients

Locations

22 Century Blvd
Ste 220
Nashville, TN 37214
Phone (615) 346-8468

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	5533	KS
Social Worker	104100000X	2011007254	MO	Yes

Addresses

Primary practice location

715 Corrington Dr
Raymore, MO 64083-8271

Mailing address

22 Century Blvd Ste 220
Nashville, TN 37214-3787
Phone (615) 454-9850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 19, 2022.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1487397287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CENTURY BLVD STE 220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143787",
            "telephone_number": "615-454-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CORRINGTON DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838271",
            "telephone_number": "816-260-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURTSCHI",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5533",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2011007254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

All providers in Raymore, MO · Social Worker in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.