Keila K Jackson-Anderson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2023050133 Issued in MO

Practice address

17844 E 23Rd St S
Independence, MO 64057-1840

Phone

(816) 254-3652

Fax

(816) 254-9243

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Children's Mercy Hospital

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1851437719
  Medicare reassignment NPD
• The Children's Mercy Hospital

  dba Children's Mercy Riverside Pharmacy - Mail

  • Mail Order Pharmacy
  • Riverside, MO
  • NPI 1235923194
  NPD
• Cornerstones of Care

  • Mental Illness Community Based Residential Treatment Facility
  • Kansas City, MO
  • NPI 1720447212

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1497228365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-254-3652",
            "fax_number": "816-254-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-ANDERSON",
        "first_name": "KEILA",
        "middle_name": "K",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023050133",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "9875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Jackley, D.C.
• Jackson County Medical Group LLC
• Jackson County Pulmonary Medical Group LLC
• Jackson County Pulmonary PC
• Jackson Drive Emergency Physicians LLC
• Christian Jackson, CRNA
• Davin Jackson
• Haleigh D Jackson, DPT
• Jasmine Jackson
• Kimberly Dawn Jackson, LPC

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.

Verify at the official NPI Registry.