Individual provider Active NPI

Michell Ann Peppers, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1669750568
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012037431 Issued in MO
Practice address
1634 E 63Rd St
Kansas City, MO 64110-3502
Phone
(816) 381-5648
Fax
(816) 281-1871
NPI assigned
Jul 26, 2011
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 2012037431 MO Primary

Addresses

Primary practice location

1634 E 63Rd St
Kansas City, MO 64110-3502

Mailing address

PO Box 740019
Atlanta, GA 30374-0019
Phone (312) 733-9730

Other practice location 1

4010 SW 8th Street Ter
Blue Springs, MO 64015-6235
Phone (816) 394-0703

Other practice location 2

16659 E 23rd St S
Independence, MO 64055-1922
Phone (816) 688-6000

Other practice location 3

700 Nebraska Ave
Kansas City, KS 66101-2111
Phone (931) 951-8731

Other names 1

  • Michell Ann Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012037431MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Missouri, LLC Clinical CurrentSince Mar 18, 2024 Accepting new patients

Locations

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

1634 E 63rd St
Kansas City, MO 64110
Phone (816) 209-6960

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1669750568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740019",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103502",
            "telephone_number": "816-381-5648",
            "fax_number": "816-281-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 SW 8th Street Ter",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640156235",
            "country_code": "US",
            "telephone_number": "816-394-0703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16659 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640551922",
            "country_code": "US",
            "telephone_number": "816-688-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661012111",
            "country_code": "US",
            "telephone_number": "931-951-8731",
            "fax_number": "913-426-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPERS",
        "first_name": "MICHELL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012037431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELL",
            "last_name": "MORGAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.