Active NPI
Michael Paul Franklin Nobo, LMSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1588063929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2016003045
- Practice address
- 2121 Summit St
Kansas City, MO 64108-2126 - Phone
- (816) 471-0900
- Fax
- (816) 471-3150
- NPI assigned
- Aug 21, 2014
- Last updated
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9318 | KS | |
| Clinical Social Worker | 1041C0700X | 2016003045 | MO | Primary |
Addresses
Primary practice location
2121 Summit St
Kansas City, MO 64108-2126
Mailing address
825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016003045 | Other | MO | LICENSE |
| 1588063929 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9318 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1588063929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 EUCLID AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641242323",
"telephone_number": "816-474-4920",
"fax_number": "816-889-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 SUMMIT ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082126",
"telephone_number": "816-471-0900",
"fax_number": "816-471-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBO",
"first_name": "MICHAEL",
"middle_name": "PAUL FRANKLIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "9318",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2016003045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2016003045",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588063929",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 12, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.