Active NPI
Kasie Delay, LCSW
- Clinical Social Worker
- Sikeston, MO
National Provider Identifier
1730696014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2019037102
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200330001804 | MO | Practitioner - Clinical Social Worker | 1456780238 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017001153 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bootheel Counseling Services | Current | Accepting new patients | |
| Bootheel Counseling Services | Current | Accepting new patients | |
| Bootheel Counseling Services | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sikeston, MO
- NPI 1386789139
MO
-
- Rural Health Clinic/Center
- Sikeston, MO
- NPI 1497064547
-
- Community/Behavioral Health Agency
- Sikeston, MO
- NPI 1700652898
-
- Community/Behavioral Health Agency
- Sikeston, MO
- NPI 1548702053
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.