Individual provider Active NPI

Kristopher C Lowry, LCSW

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1528724721
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024003429 Issued in MO
Practice address
1627 W 26TH St
Joplin, MO 64804-0322
Phone
(417) 627-9601
NPI assigned
Nov 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 2024003429 MO Primary

Addresses

Primary practice location

1627 W 26TH St
Joplin, MO 64804-0322

Mailing address

2510 W 26TH St
Joplin, MO 64804-3103
Phone (405) 651-9202

Other identifiers 1

IdentifierTypeStateIssuer
490136414MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106003057 MO Practitioner - Clinical Social Worker 1850887159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1627 W 26TH St
Joplin, MO 64804-0398

2510 W 26TH St
Joplin, MO 64804-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024003429MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristopher Lowry LLC Clinical CurrentSince Sep 24, 2025 Accepting new patients

Locations

1627 W 26th St
Joplin, MO 64804
Phone (417) 627-9601

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.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1528724721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W 26TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043103",
            "telephone_number": "405-651-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 W 26TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040322",
            "telephone_number": "417-627-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "KRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024003429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490136414",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.