Active NPI
Landon Lee Kirk, MSW, LCSW
- Clinical Social Worker
- Lake Ozark, MO
National Provider Identifier
1811222573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2007006610
- Practice address
- 130 Calo LN
Lake Ozark, MO 65049-9208 - Phone
- (573) 365-2221
- Fax
- (573) 365-2224
- NPI assigned
- Oct 13, 2009
- Sex
- Male
- 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 | 2007006610 | MO | Primary |
Addresses
Primary practice location
130 Calo LN
Lake Ozark, MO 65049-9208
Mailing address
130 Calo LN
Lake Ozark, MO 65049-9208
Phone (573) 365-2221
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 |
|---|---|---|---|
| 2007006610 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1811222573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CALO LN",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650499208",
"telephone_number": "573-365-2221",
"fax_number": "573-365-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CALO LN",
"city": "LAKE OZARK",
"state": "MO",
"postal_code": "650499208",
"telephone_number": "573-365-2221",
"fax_number": "573-365-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "LANDON",
"middle_name": "LEE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007006610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.