Individual provider Active NPI

Renee Valdovino, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1790406742
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2001021757 Issued in MO
Practice address
2000 NE Vivion Road
Kansas City, MO 64118
Phone
(816) 691-5119
Fax
(816) 346-7119
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 2325 KS
Clinical Social Worker 1041C0700X 2001021757 MO Primary

Addresses

Primary practice location

2000 NE Vivion Road
Kansas City, MO 64118

Mailing address

2000 NE Vivion Road
Kansas City, MO 64118
Phone (816) 691-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221018003056 MO Practitioner - Clinical Social Worker 5496121329 Reassigns benefits to 1 organization
I20240524001748 KS Practitioner - Clinical Social Worker 5496121329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2325KSMDSocial Worker
2001021757MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc Clinical CurrentSince Sep 14, 2022 Accepting new patients
Kansas City Hospice, Inc Clinical CurrentSince Apr 17, 2024 Accepting new patients

Locations

10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228

8012 State Line Rd
Ste 200
Prairie Vlg, KS 66208

8012 State Line Rd
Ste 202
Shawnee Mission, KS 66208
Phone (913) 341-0318

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

2000 NE Vivion Rd
Kansas City, MO 64118
Phone (816) 691-5119

9001 State Line Rd
Ste 300
Kansas City, MO 64114

Organizations & group practices 2

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1790406742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE VIVION ROAD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-691-5119",
            "fax_number": "816-346-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NE VIVION ROAD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-691-5119",
            "fax_number": "816-346-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDOVINO",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "2325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001021757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.