Active NPI
Jane Louise Faville, LCSW, LSCSW
- Clinical Social Worker
- Prairie Village, KS
National Provider Identifier
1841905403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05337
- Practice address
- 1900 W 75TH St Ste 200
Prairie Village, KS 66208-3501 - Phone
- (816) 810-4572
- NPI assigned
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2020021669 | MO | |
| Clinical Social Worker | 1041C0700X | 05337 | KS | Primary |
Addresses
Primary practice location
1900 W 75TH St Ste 200
Prairie Village, KS 66208-3501
Mailing address
11201 N Wallace Ave
Kansas City, MO 64157-1007
Phone (816) 810-4572
Other practice location 1
11201 N Wallace Ave
Kansas City, MO 64157-1007
Phone (816) 810-4572
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 |
|---|---|---|---|
| 05337 | KS | MD | Clinical Social Worker |
| 2020021669 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1841905403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 N WALLACE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641571007",
"telephone_number": "816-810-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W 75TH ST STE 200",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083501",
"telephone_number": "816-810-4572"
}
],
"practiceLocations": [
{
"address_1": "11201 N Wallace Ave",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641571007",
"country_code": "US",
"telephone_number": "816-810-4572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAVILLE",
"first_name": "JANE",
"middle_name": "LOUISE",
"credential": "LCSW, LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2020021669",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.