Active NPI
Marie S. Styles
- Social Worker
- Independence, MO
National Provider Identifier
1497220842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2018019025
- Practice address
- 4801 S Cliff Ave Ste 214a
Independence, MO 64055-7015 - Phone
- (816) 867-6868
- Fax
- (816) 875-4199
- NPI assigned
- Oct 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2018019025 | MO | Primary |
Addresses
Primary practice location
4801 S Cliff Ave Ste 214a
Independence, MO 64055-7015
Mailing address
PO Box 1577
Independence, MO 64055-0577
Phone (816) 875-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497220842 | Medicaid | MO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018019025 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Counseling KC, LLC | Current | Accepting new patients | |
| The Family Conservancy | Past | Accepting new patients |
Locations
14200 E 32nd St S
Unit 1577
Independence, MO 64055
4801 S Cliff Ave
Ste 214A
Independence, MO 64055
Phone (816) 867-0584
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Independence, MO
- NPI 1073270120
-
- Clinical Social Worker
- Kansas City, KS
- NPI 1336255173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1497220842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1577",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640550577",
"telephone_number": "816-875-6868",
"fax_number": "816-875-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S CLIFF AVE STE 214A",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557015",
"telephone_number": "816-867-6868",
"fax_number": "816-875-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYLES",
"first_name": "MARIE",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2018019025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497220842",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.