Justin Ross Newkirk, MSW, PLCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2009026588 Issued in MO

Practice address

3210 S Lees Summit Rd
Independence, MO 64055-1998

Phone

(913) 221-7477

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1689909939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860764",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662860764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 S LEES SUMMIT RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551998",
            "telephone_number": "913-221-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "JUSTIN",
        "middle_name": "ROSS",
        "credential": "MSW, PLCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009026588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Nelson, RN
• Lee A Nelson, LCSW
• Greg E Neubauer, MA, LPC, NCC
• New Life Adult Daycare LLC
• Nancy L. Newhouse, D.D.S., M.S.
• John Darrell Newman, DDS
• Maggie Marie Ngar, D.O.
• Aaron D Nguyen, PLPC
• Carey Nguyen, OD
• Khanh X Nguyen, M.D.

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.