Lisa A Blume Sr., LSCSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2000161360 Issued in MO

Practice address

2633 Independence Ave
Kansas City, MO 64124-2433

Phone

(816) 743-9911

NPI assigned

Sep 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kansas City University

  dba KCU Oral Health Center

  • Dental Clinic/Center
  • Joplin, MO
  • NPI 1295773638
  NPD (past)
• Midwest Psychiatric Consultants, P.C.

  • Specialist
  • Lee's Summit, MO
  • NPI 1265472088
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1508053034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 INDEPENDENCE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242433",
            "telephone_number": "816-743-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 INDEPENDENCE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242433",
            "telephone_number": "816-743-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "credential": "LSCSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1898",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000161360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "395D084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Vine Health Care LLC
• Blue Zone Physical Therapy, LLC
• Erika Lynn Blue, PHD
• Lester E Blue Jr., PH.D.
• Richard B Bluel, DC
• Celine D. Blummer, CRNA
• Amit Blumovich, MD
• Alissa Christina Blundell, DNP, FNP-C
• Kathryn Mary Blundell, RN, BSN, CNOR, CRNFA
• Robert Eugene Blundell Jr., DDS

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, 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 Jun 5, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.