Individual provider Active NPI

Julie Ann Waite, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1528243789
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010028699 Issued in MO
Practice address
2715 Swope Pkwy
Kansas City, MO 64130-2609
Phone
(816) 923-1154
Fax
(816) 923-1353
NPI assigned
Jan 7, 2008
Last updated
Jul 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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 2010028699 MO Primary

Addresses

Primary practice location

2715 Swope Pkwy
Kansas City, MO 64130-2609

Mailing address

2715 Swope Pkwy
Kansas City, MO 64130-2609
Phone (816) 923-1154

Other practice location 1

8859 N Congress Ave Apt 227
Kansas City, MO 64153-1879
Phone (254) 230-3255

Other identifiers 1

IdentifierTypeStateIssuer
2010028699OtherMOMISSOURI DIVISION OF PROFESSIONAL REGISTRATION

Other names 1

  • Julie Ann Groman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dciinc.org Health Information Exchange (HIE)

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2010028699MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1528243789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SWOPE PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302609",
            "telephone_number": "816-923-1154",
            "fax_number": "816-923-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 SWOPE PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302609",
            "telephone_number": "816-923-1154",
            "fax_number": "816-923-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8859 N Congress Ave Apt 227",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641531879",
            "country_code": "US",
            "telephone_number": "254-230-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITE",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010028699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2010028699",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dciinc.org",
            "affiliation": "N",
            "endpointDescription": "secure website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2715 Swope Pkwy",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641302609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "GROMAN",
            "middle_name": "ANN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.