Individual provider Active NPI

Thomas Humphrey, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1578935441
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1920 Issued in KS
Practice address
400 E Red Bridge Rd Ste 203
Kansas City, MO 64131-4030
Phone
(816) 678-9392
NPI assigned
Oct 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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 1920 KS Primary

Addresses

Primary practice location

400 E Red Bridge Rd Ste 203
Kansas City, MO 64131-4030

Mailing address

400 E Red Bridge Rd Ste 203
Kansas City, MO 64131-4030
Phone (816) 678-9392

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241209001189 MO Practitioner - Clinical Social Worker 5890221246 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1920KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Ozark Center CurrentSince Dec 1, 2024 Accepting new patients
Ozark Center CurrentSince Dec 1, 2024 Accepting new patients

Locations

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

Organizations & group practices 3

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1578935441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "816-678-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "816-678-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.