Jacqueline K Amweg, LCSW
Individual provider Active NPI Clinical Social Worker · Kansas City, MO
NPI 1699022483 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1699022483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2015031832 (MO)
- Practice address
- 9001 State Line Rd # 300
Kansas City, MO 64114-3232 - Phone
- (816) 363-2600
- Fax
- (816) 523-0068
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kansas City Hospice Inc
Practice addresses (Care Compare)
10100 W 87TH St
Overland Park, KS 66212-4628
Phone (816) 363-2600
9001 State Line Rd
Suite 300
Kansas City, MO 64114-3212
Phone (816) 363-2600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181213002342 | MO | Practitioner - Clinical Social Worker | 5991959173 | Reassigns benefits to 1 organization |
| I20190313002185 | KS | Practitioner - Clinical Social Worker | 5991959173 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4507 | KS | MD | Clinical Social Worker |
| 2015031832 | MO | MD | Clinical Social Worker |
| 1609 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Hospice, Inc | Clinical | Current |
Accepting new patients |
| Kansas City Hospice, Inc | Clinical | Current |
Accepting new patients |
Locations
10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228
8012 State Line Rd
Ste 200
Prairie Vlg, KS 66208
8012 State Line Rd
Ste 202
Shawnee Mission, KS 66208
Phone (913) 341-0318
8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570
2000 NE Vivion Rd
Ste 200
Kansas City, MO 64118
Phone (816) 691-5119
9001 State Line Rd
Ste 300
Kansas City, MO 64114
2000 NE Vivion Rd
Kansas City, MO 64118
Phone (816) 691-5119
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4507 | KS | |
| Clinical Social Worker | 1041C0700X | 2015031832 | MO | Yes |
Addresses
Primary practice location
9001 State Line Rd # 300
Kansas City, MO 64114-3232
Mailing address
9001 State Line Rd # 300
Kansas City, MO 64114-3232
Phone (816) 363-2600
Other providers in Kansas City, MO
- Amita Amonker
- Amore Care LLC
- Lauren Elizabeth Amos
- Melanie Amos
- Amramp Kansas City
- Amy Robertson Counseling LLC
- An Angel for Care Home Healthcare LLC
- Mathura Ananthan
- Anastasia Home Health LLC
- Anchor Home Care - Agency LLC
All providers in Kansas City, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.