Organization Active NPI

Therese McKechnie, MSW, Lscsw, LLC

  • Clinical Social Worker
  • Leawood, KS
National Provider Identifier
1639617004
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
928 Issued in KS
Legal business name
THERESE MCKECHNIE, MSW, LSCSW, LLC
Practice address
4809 W 117TH St
Leawood, KS 66211-2051
Phone
(913) 362-0315
Fax
(913) 362-0394
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Therese K McKechnie, LSCSW
Title
Clinical Social Worker
Phone
(913) 362-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 928 KS Primary

Addresses

Primary practice location

4809 W 117TH St
Leawood, KS 66211-2051

Mailing address

4809 W 117TH St
Leawood, KS 66211-2051
Phone (913) 362-0315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170220000497 KS Part B Supplier - Clinic/Group Practice 0749563666 Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

10870 Benson Dr
Ste 2170
Overland Park, KS 66210
Phone (620) 290-2379

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1639617004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 W 117TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112051",
            "telephone_number": "913-362-0315",
            "fax_number": "913-362-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 W 117TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112051",
            "telephone_number": "913-362-0315",
            "fax_number": "913-362-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESE MCKECHNIE, MSW, LSCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MCKECHNIE",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "913-362-0315",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.