Individual provider Active NPI

Jessica Rachel Calvert, LSCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1750691473
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05739 Issued in KS
Practice address
19655 W 105TH St
Olathe, KS 66061-7516
Phone
(913) 710-2631
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 2017044320 MO
Clinical Social Worker 1041C0700X 05739 KS Primary

Addresses

Primary practice location

19655 W 105TH St
Olathe, KS 66061-7516

Mailing address

7131 W 135TH St # 1169
Overland Park, KS 66223-1238
Phone (913) 355-6820

Other practice location 1

19655 W 105th St
Olathe, KS 66061-7516
Phone (913) 355-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05739KSMDClinical Social Worker
2017044320MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1750691473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 W 135TH ST # 1169",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231238",
            "telephone_number": "913-355-6820",
            "fax_number": "913-490-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19655 W 105TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617516",
            "telephone_number": "913-710-2631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19655 W 105th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617516",
            "country_code": "US",
            "telephone_number": "913-355-6820",
            "fax_number": "913-490-1904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "JESSICA",
        "middle_name": "RACHEL",
        "name_prefix": "Miss",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017044320",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.