Individual provider Active NPI

Kasie Delay, LCSW

  • Clinical Social Worker
  • Sikeston, MO
National Provider Identifier
1730696014
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019037102 Issued in MO
Practice address
760 Plantation Blvd
Sikeston, MO 63801-5736
Phone
(573) 471-0800
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2017001153 MO
Clinical Social Worker 1041C0700X 2019037102 MO Primary

Addresses

Primary practice location

760 Plantation Blvd
Sikeston, MO 63801-5736

Mailing address

PO Box 1043
Sikeston, MO 63801-1043
Phone (573) 471-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330001804 MO Practitioner - Clinical Social Worker 1456780238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017001153MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bootheel Counseling Services CurrentSince Mar 30, 2020 Accepting new patients
Bootheel Counseling Services CurrentSince Dec 3, 2023 Accepting new patients
Bootheel Counseling Services CurrentSince Mar 30, 2020 Accepting new patients
Bootheel Counseling Services Past Accepting new patients

Locations

760 Plantation Blvd
Sikeston, MO 63801
Phone 5734710880245

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1730696014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011043",
            "telephone_number": "573-471-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PLANTATION BLVD",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015736",
            "telephone_number": "573-471-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAY",
        "first_name": "KASIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017001153",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019037102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.