Marissa Kile, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2017033636 Issued in MO

Practice address

8301 State Line Rd Ste 205
Kansas City, MO 64114-2019

Phone

(913) 608-4312

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wise Mind Therapy, LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1114643012
  NPD Authorized official

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1730693292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W 166TH ST",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660858119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 STATE LINE RD STE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142019",
            "telephone_number": "913-608-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILE",
        "first_name": "MARISSA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10464",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2017033636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Nicole Kieslich, PTA
• Nathan John Kiewiet, M.D.
• Erin Leigh Kihlberg, APRN
• Howard W Kilbride, MD
• Sara A Kilbride, D.O.
• Karla Kilgore
• Darren E Killen, MD
• Emma Elizabeth Killian
• Haley Jane Killian, PHD
• Rebekka Kristin Killinger, MD

• Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.