Individual provider Active NPI

Jane Louise Faville, LCSW, LSCSW

  • Clinical Social Worker
  • Prairie Village, KS
National Provider Identifier
1841905403
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05337 Issued in KS
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

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
05337KSMDClinical Social Worker
2020021669MOMDClinical 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.

Verify at the official NPI Registry.