Individual provider Active NPI

Brian Gregory Sisk, LMSW

  • Social Worker
  • Kansas City, MO
National Provider Identifier
1740776772
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2018020058 Issued in MO
Practice address
3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460
Phone
(816) 468-0400
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2018020058 MO Primary

Addresses

Primary practice location

3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460

Mailing address

13303 W 112TH St
Overland Park, KS 66210-3307
Phone (913) 744-5625

Other practice location 1

8806 W 49th Ter
Shawnee, KS 66203-1712
Phone (913) 461-6842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210914001299 MO Practitioner - Clinical Social Worker 6608272877 Reassigns benefits to 1 organization
Practice locations: Kansas City, MO; Liberty, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400

Merit-based Incentive Payment System (MIPS)

Final score
64.92 of 100Reported as group
Quality
36.72
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018020058MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services, Inc. CurrentSince Sep 9, 2021 Accepting new patients

Locations

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

Organizations & group practices 1

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1740776772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103307",
            "telephone_number": "913-744-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST STE 1001",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194460",
            "telephone_number": "816-468-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8806 W 49th Ter",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662031712",
            "country_code": "US",
            "telephone_number": "913-461-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISK",
        "first_name": "BRIAN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018020058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.