Individual provider Active NPI

Tiffany M Traub, LMSW

  • Clinical Social Worker
  • Kansas City, KS
National Provider Identifier
1851718332
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2022034691 Issued in MO
Practice address
5424 State Ave
Kansas City, KS 66102-3446
Phone
(913) 287-1300
NPI assigned
Mar 24, 2014
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 06140 KS
Clinical Social Worker 1041C0700X 2022034691 MO Primary

Addresses

Primary practice location

5424 State Ave
Kansas City, KS 66102-3446

Mailing address

5424 State Ave
Kansas City, KS 66102-3446
Phone (913) 287-1300

Other practice location 1

8012 State Line Rd Ste 202
Prairie Village, KS 66208-3716
Phone (913) 341-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250117002559 KS Practitioner - Clinical Social Worker 2668901794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013037938MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Counseling Associates of Kansas City LLC CurrentSince Jan 7, 2025 Accepting new patients

Locations

5800 Foxridge Dr
Ste 420
Mission, KS 66202
Phone (816) 781-8550

100 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-3371

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1851718332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023446",
            "telephone_number": "913-287-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661023446",
            "telephone_number": "913-287-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8012 State Line Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662083716",
            "country_code": "US",
            "telephone_number": "913-341-0318",
            "fax_number": "913-341-0319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06140",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022034691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.