Active NPI
Amy Kirkwood
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1659778371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2011033441
- Practice address
- 3515 Broadway Blvd
Kansas City, MO 64111-2537 - Phone
- (816) 777-2778
- Fax
- (816) 756-1081
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2011033441 | MO | Primary |
Addresses
Primary practice location
3515 Broadway Blvd
Kansas City, MO 64111-2537
Mailing address
3515 Broadway Blvd
Kansas City, MO 64111-2537
Phone (816) 777-2778
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 |
|---|---|---|---|
| 2011033441 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1659778371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 BROADWAY BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112537",
"telephone_number": "816-777-2778",
"fax_number": "816-756-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 BROADWAY BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112537",
"telephone_number": "816-777-2778",
"fax_number": "816-756-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKWOOD",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2011033441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
- Katie Ann Kirkenmeier, MA, LPC, ATR
- Kellie Renae Kirkland, CPNP
- Glen Ray Kirkpatrick, MD
- Lauren Elizabeth Kirkpatrick, M.D.
- Marcus Alexander Kirkpatrick, BS
- Alice Anne Kirsch, RN
- Kiser Pediatric Dentistry II / Dba Little Chompers Pediatric Dentistry
- Amy M Kiser, OTR
- Steven Eugene Kisker, M.D.
- Janay Kissinger, ANP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.