Individual provider Active NPI

A Monique Burns, PHD, ACSW, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1861730368
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017023471 Issued in MO
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

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011001532 MO Practitioner - Clinical Social Worker 8527384437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSW005077GAMDClinical Social Worker
34005766AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psu, LLC CurrentSince Aug 1, 2017 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.

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

Verify at the official NPI Registry.