Individual provider Active NPI

Jennifer D Kline, LCSW

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1609160597
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010008567 Issued in MO
Practice address
3608 Faraon St
Saint Joseph, MO 64506-3044
Phone
(816) 232-4417
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2010008567 MO
Clinical Social Worker 1041C0700X 2010008567 MO Primary

Addresses

Primary practice location

3608 Faraon St
Saint Joseph, MO 64506-3044

Mailing address

5301 Faraon St Ste 120
Saint Joseph, MO 64506-3512
Phone (816) 271-8133

Other practice location 1

802 N Riverside Rd Ste 100B
Saint Joseph, MO 64507-2502
Phone (816) 271-8133

Other practice location 2

2303 Village Drive
St. Joseph, MO 64506
Phone (816) 232-4417

Other practice location 3

5001 Lake Ave
Saint Joseph, MO 64504-1170
Phone (816) 238-7788

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
I20190628001626 MO Practitioner - Clinical Social Worker 1850625591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010008567MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Apr 11, 2022 Accepting new patients
Heartland Regional Medical Center CurrentSince Apr 11, 2022 Accepting new patients
Heartland Regional Medical Center Family Medicine Current Accepting new patients

Locations

2303 Village Dr
Saint Joseph, MO 64506
Phone (816) 232-6818

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

802 N Riverside Rd
Ste 100B
Saint Joseph, MO 64507
Phone (816) 271-8133

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1609160597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 FARAON ST STE 120",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063512",
            "telephone_number": "816-271-8133",
            "fax_number": "816-271-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063044",
            "telephone_number": "816-232-4417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 N Riverside Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072502",
            "country_code": "US",
            "telephone_number": "816-271-8133",
            "fax_number": "816-271-8134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2303 Village Drive",
            "address_purpose": "LOCATION",
            "city": "St. Joseph",
            "state": "MO",
            "postal_code": "64506",
            "country_code": "US",
            "telephone_number": "816-232-4417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645041170",
            "country_code": "US",
            "telephone_number": "816-238-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2010008567",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010008567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.