Active NPI
A Monique Burns, PHD, ACSW, LCSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1861730368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2017023471
- Practice address
- 851 NW 45TH St Ste 104
Kansas City, MO 64116-4613 - Phone
- (317) 418-9149
- Fax
- (816) 883-8274
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005766A | IN | |
| Clinical Social Worker | 1041C0700X | L6137 | OR | |
| Clinical Social Worker | 1041C0700X | 4717 | KS | |
| Clinical Social Worker | 1041C0700X | CSW005077 | GA | |
| Clinical Social Worker | 1041C0700X | 2017023471 | MO | Primary |
Addresses
Primary practice location
851 NW 45TH St Ste 104
Kansas City, MO 64116-4613
Mailing address
851 NW 45TH St Ste 104
Kansas City, MO 64116-4613
Phone (317) 418-9149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005077 | GA | MD | Clinical Social Worker |
| 34005766A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psu, LLC | Current | Accepting new patients |
Locations
1201 NW Briarcliff Pkwy
Ste 200
Kansas City, MO 64116
Phone (913) 804-7500
851 NW 45th St
Ste 104
Kansas City, MO 64116
Phone (816) 205-8114
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Kansas City, MO
- NPI 1407373715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1861730368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 NW 45TH ST STE 104",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641164613",
"telephone_number": "317-418-9149",
"fax_number": "816-883-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 NW 45TH ST STE 104",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641164613",
"telephone_number": "317-418-9149",
"fax_number": "816-883-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "A MONIQUE",
"name_prefix": "Dr.",
"credential": "PHD, ACSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005766A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6137",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4717",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005077",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2017023471",
"primary": true
}
],
"identifiers": [],
"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 Nov 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.