Individual provider Active NPI

Jennifer Rinne, LCSW

  • Clinical Social Worker
  • Independence, MO
National Provider Identifier
1770115941
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2022016141 Issued in MO
Practice address
3737 S Elizabeth St
Independence, MO 64057-1759
Phone
(816) 622-2113
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2019035075 MO
Social Worker 104100000X 11384 KS
Clinical Social Worker 1041C0700X 2022016141 MO Primary

Addresses

Primary practice location

3737 S Elizabeth St
Independence, MO 64057-1759

Mailing address

1113 NE Bay CT
Blue Springs, MO 64014-1840
Phone (816) 709-8155

Other practice location 1

3737 S Elizabeth St Ste 200
Independence, MO 64057-1785
Phone (816) 255-1500

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
11384KSMDSocial Worker
2019035075MOMDSocial Worker
2022016141MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Connections CurrentSince Mar 5, 2023 Accepting new patients

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1770115941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 NE BAY CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141840",
            "telephone_number": "816-709-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 S ELIZABETH ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571759",
            "telephone_number": "816-622-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 S Elizabeth St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571785",
            "country_code": "US",
            "telephone_number": "816-255-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINNE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2019035075",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11384",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022016141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.