Active NPI
Kelly C Dawson, LSCSW
- Social Worker
- Lenexa, KS
National Provider Identifier
1710338918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10072
- Practice address
- 16979 W 94TH St
Lenexa, KS 66219 - Phone
- (913) 302-8181
- NPI assigned
- Jun 29, 2016
- Last updated
- Jul 16, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10072 | KS | Primary |
| Clinical Social Worker | 1041C0700X | 05446 | KS |
Addresses
Primary practice location
16979 W 94TH St
Lenexa, KS 66219
Mailing address
16979 W 94TH St
Lenexa, KS 66219
Phone (816) 508-3500
Other names 1
- Kelly Linnan
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 |
|---|---|---|---|
| 10072 | KS | MD | Social Worker |
| 05446 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstones of Care | Social Worker | Past | Accepting new patients |
| Gillis Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Kansas City, MO
- NPI 1720447212
Social Worker
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- Kansas City, MO
- NPI 1881664365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1710338918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16979 W 94TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "66219",
"telephone_number": "816-508-3500",
"fax_number": "816-508-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16979 W 94TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "66219",
"telephone_number": "913-302-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "KELLY",
"middle_name": "C",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "10072",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "LINNAN",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.