Caitlyn Cornell, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024017854 Issued in MO

Practice address

4228 S Hocker Dr BLDG 12
Independence, MO 64055-4754

Phone

(816) 381-7690

Fax

(816) 381-4356

NPI assigned

Jun 10, 2024

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Authentic Life LLC

  • Clinical Social Worker
  • Independence, MO
  • NPI 1437815255
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1538901608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W MAPLE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502816",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 S HOCKER DR BLDG 12",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554754",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5155 Raytown Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641332141",
            "country_code": "US",
            "telephone_number": "816-648-6830",
            "fax_number": "816-648-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "CAITLYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024017854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William T Cooper, CRNA
• Joy G. Copeland, M.ED., LPC
• Branden Thomas Corbello
• Core Health, LLC
• Core Home Health Agency LLC (Specialized Home Care)
• Christopher Kent Cornine, PHD
• Alexander Sebastian Cosio-Santillan, CADC II
• Kaylee Costanza
• Costco Wholesale Corporation (Costco Optical #373)
• Costco Wholesale Corporation (Costco Hearing Aid #373)

• 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 Aug 18, 2026; 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.