Active NPI
Therese McKechnie, MSW, Lscsw, LLC
- Clinical Social Worker
- Leawood, KS
National Provider Identifier
1639617004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 928
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170220000497 | KS | Part B Supplier - Clinic/Group Practice | 0749563666 | Practice locations: Overland Park, KS |
National Provider Directory
National Provider DirectoryLocations
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.