Individual provider Active NPI

Norma Jean Kelley, LCSW

  • Clinical Social Worker
  • Lees Summit, MO
National Provider Identifier
1760021034
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023036029 Issued in MO
Practice address
1555 NE Rice Rd BLDG B
Lees Summit, MO 64086-5849
Phone
(816) 965-1610
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2019004027 MO
Clinical Social Worker 1041C0700X 2023036029 MO Primary

Addresses

Primary practice location

1555 NE Rice Rd BLDG B
Lees Summit, MO 64086-5849

Mailing address

1555 NE Rice Rd BLDG B
Lees Summit, MO 64086-5849
Phone (816) 965-1610

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
I20240817000260 MO Practitioner - Clinical Social Worker 7517405889 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019004027MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical CurrentSince Aug 25, 2025 Accepting new patients
Rediscover CurrentSince May 30, 2024 Accepting new patients
Rediscover CurrentSince May 30, 2024 Accepting new patients
Compass Health, Inc CurrentSince Aug 25, 2025 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

6801 E 117th St
Kansas City, MO 64134
Phone (816) 966-0903

3211 Woodland Ave
Kansas City, MO 64109
Phone (816) 931-6500

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

1555 NE Rice Rd
Bldg B
Lees Summit, MO 64086
Phone (816) 965-1610

501 N Sunset Ln
Raymore, MO 64083
Phone (448) 538-9378

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1760021034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD BLDG B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-965-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD BLDG B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-965-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "NORMA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2019004027",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023036029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.