Active NPI
Derick Nelson Farmer
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1851874564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018001714
- Practice address
- 300 W 19TH Ter
Kansas City, MO 64108-2026 - Phone
- (816) 404-5709
- NPI assigned
- Sep 9, 2018
- Sex
- Male
- 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 | 4726 | KS | |
| Clinical Social Worker | 1041C0700X | 2018001714 | MO | Primary |
Addresses
Primary practice location
300 W 19TH Ter
Kansas City, MO 64108-2026
Mailing address
10228 Kessler St Apt a
Overland Park, KS 66212-5357
Phone (620) 288-0768
Other practice location 1
17503 Chestnut Dr
Belton, MO 64012-2825
Phone (620) 288-0768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490074453 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W 19TH Ter
University Health Behavioral Health Ccbho C
Kansas City, MO 64108-2026
Phone (816) 404-5709
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4726 | KS | MD | Clinical Social Worker |
| 2018001714 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Lavender Springs Behavioral Health LLC | Clinical | Current | Accepting new patients |
| Leeker Enterprises Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba University Health
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Adult Mental Health Clinic/Center
- Lenexa, KS
- NPI 1164293502
Clinical
-
dba Reflections Counsulting
- Clinical Social Worker
- Kennett, MO
- NPI 1932506524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752969600000",
"number": "1851874564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10228 KESSLER ST APT A",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125357",
"telephone_number": "620-288-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 19TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082026",
"telephone_number": "816-404-5709"
}
],
"practiceLocations": [
{
"address_1": "17503 Chestnut Dr",
"address_purpose": "LOCATION",
"city": "Belton",
"state": "MO",
"postal_code": "640122825",
"country_code": "US",
"telephone_number": "620-288-0768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARMER",
"first_name": "DERICK",
"middle_name": "NELSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-09",
"last_updated": "2025-07-20",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4726",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018001714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490074453",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.