Individual provider Active NPI

Jane McKinney, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1619093820
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004032408 Issued in MO
Practice address
6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone
(816) 607-3091
Fax
(816) 494-1952
NPI assigned
Mar 21, 2007
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 2004032408 MO Primary

Addresses

Primary practice location

6155 Oak St Ste B
Kansas City, MO 64113-2266

Mailing address

6155 Oak St Ste B
Kansas City, MO 64113-2266
Phone (816) 607-3091

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
I20100118000037 MO Practitioner - Clinical Social Worker 3577605328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6155 Oak St
Suite B
Kansas City, MO 64113-2266
Phone (816) 607-3091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004032408MOMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Balanced Life LLC Clinical CurrentSince Mar 3, 2019 Accepting new patients

Locations

6155 Oak St
Ste B
Kansas City, MO 64113
Phone (816) 607-1775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1619093820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132266",
            "telephone_number": "816-607-3091",
            "fax_number": "816-494-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132266",
            "telephone_number": "816-607-3091",
            "fax_number": "816-494-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004032408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.