Active NPI
Tamra C Paolillo, LCSW
- Social Worker
- Saint Joseph, MO
National Provider Identifier
1619016532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW001949
- Practice address
- 137 N Belt Hwy
Saint Joseph, MO 64506-3491 - Phone
- (816) 271-6573
- Fax
- (816) 271-6572
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW001949 | MO | Primary |
Addresses
Primary practice location
137 N Belt Hwy
Saint Joseph, MO 64506-3491
Mailing address
137 N Belt Hwy
Saint Joseph, MO 64506-3491
Phone (816) 271-6573
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241020 | Other | MO | VALUE OPTIONS ID |
| 10001309000 | Other | MO | COMMUNITY HEALTH PLAN ID |
| 18524038 | Other | MO | BLUE CROSS BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW001949 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Social Worker | Past | Accepting new patients |
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": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619016532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063491",
"telephone_number": "816-271-6573",
"fax_number": "816-271-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063491",
"telephone_number": "816-271-6573",
"fax_number": "816-271-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLILLO",
"first_name": "TAMRA",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "SW001949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS ID",
"identifier": "241020",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN ID",
"identifier": "10001309000",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "18524038",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.