Kristie E Pfaff, MSW, LCSW, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001012724 Issued in MO

Practice address

205 NW 59TH St
Gladstone, MO 64118-4021

Phone

(816) 673-4889

NPI assigned

Aug 2, 2005

Reactivated

May 10, 2016

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1760483598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NW 59TH ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184021",
            "telephone_number": "816-673-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NW 59TH ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184021",
            "telephone_number": "816-673-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "KRISTIE",
        "middle_name": "E",
        "credential": "MSW, LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "deactivation_date": "2013-02-05",
        "reactivation_date": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2172",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001012724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Parham, RN
• Kunj Patel
• Kendra Lynn Pearson, DC
• Deborah Ann Peek, OTR L
• Jordan A Perriman, DDS
• Melanie Lee Phillips, AUD
• Sheila K Phillips, D.O.
• Becky Phung
• Hillary Rummel Pierce
• Andrea J Pittman, LCSW, RPT

• Clinical Social Worker in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.