Active NPI
Johanna Eileen Kelley, LCSW, LSCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1669144606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2023044019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 06375 | KS | MD | Clinical Social Worker |
| 2023044019 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstones of Care | Social Worker | Past | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1720447212
Social Worker
-
- Psychologist
- Kansas City, MO
- NPI 1871637728
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.