Individual provider Active NPI

Kathryn Anne Sharp, LCSW

  • Clinical Social Worker
  • Lee's Summit, MO
National Provider Identifier
1740047984
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024006462 Issued in MO
Practice address
783 NE Anderson LN
Lees Summit, MO 64064-1247
Phone
(816) 800-1684
Fax
(816) 584-8110
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024006462 MO Primary

Addresses

Primary practice location

783 NE Anderson LN
Lees Summit, MO 64064-1247

Mailing address

13614 Green Ridge Rd
Greenwood, MO 64034-8900
Phone (816) 800-1684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260120002011 MO Practitioner - Clinical Social Worker 4880171024 Reassigns benefits to 2 organizations
I20260212000928 KS Practitioner - Clinical Social Worker 4880171024 Reassigns benefits to 1 organization
I20260212001204 MA Practitioner - Clinical Social Worker 4880171024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13614 Green Ridge Rd
Greenwood, MO 64034-8900

500 Westover Dr
Sanford, NC 27330-8941

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024006462MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 6, 2026 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jan 13, 2026 Accepting new patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince Jan 6, 2026 Accepting new patients

Locations

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1740047984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13614 GREEN RIDGE RD",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640348900",
            "telephone_number": "816-800-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 NE ANDERSON LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641247",
            "telephone_number": "816-800-1684",
            "fax_number": "816-584-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024006462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.