Individual provider Active NPI

Johanna Eileen Kelley, LCSW, LSCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1669144606
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023044019 Issued in MO
Practice address
751 E 63Rd St Ste 217C
Kansas City, MO 64110-3385
Phone
(816) 388-0370
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2023044019 MO Primary
Clinical Social Worker 1041C0700X 06375 KS

Addresses

Primary practice location

751 E 63Rd St Ste 217C
Kansas City, MO 64110-3385

Mailing address

751 E 63Rd St Ste 217C
Kansas City, MO 64110-3385
Phone (816) 388-0370

Other practice location 1

6500 Troost Ave Ste 135
Kansas City, MO 64131-1230
Phone (816) 388-0370

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

LicenseStateTypeSpecialty
06375KSMDClinical Social Worker
2023044019MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones of Care Social Worker PastSince Oct 5, 2021 Accepting new patients
Hutchinson & Associates LLC Past Accepting new patients

Organizations & group practices 2

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1669144606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 63RD ST STE 217C",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103385",
            "telephone_number": "816-388-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E 63RD ST STE 217C",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103385",
            "telephone_number": "816-388-0370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Troost Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311230",
            "country_code": "US",
            "telephone_number": "816-388-0370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOHANNA",
        "middle_name": "EILEEN",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023044019",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.