Active NPI
Christine Y Mize, LCSW
- Clinical Social Worker
- Lees Summit, MO
National Provider Identifier
1780164491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018002424
- Practice address
- 400 SE Blue Pkwy
Lees Summit, MO 64063-4352 - Phone
- (816) 986-2169
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2018002424 | MO | Primary |
Addresses
Primary practice location
400 SE Blue Pkwy
Lees Summit, MO 64063-4352
Mailing address
400 SE Blue Pkwy
Lees Summit, MO 64063-4352
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018002424 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1780164491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SE BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SE BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634352",
"telephone_number": "816-986-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZE",
"first_name": "CHRISTINE",
"middle_name": "Y",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018002424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.