Individual provider Active NPI

Meeka Marie Centimano, LSCSW

  • Clinical Social Worker
  • Mission, KS
National Provider Identifier
1871741058
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3830 Issued in KS
Practice address
6405 Metcalf Ave
Suite 114
Mission, KS 66202-3931
Phone
(913) 530-3837
NPI assigned
Aug 30, 2008
Last updated
Apr 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3830 KS Primary

Addresses

Primary practice location

6405 Metcalf Ave
Suite 114
Mission, KS 66202-3931

Mailing address

6405 Metcalf Ave
Suite 114
Mission, KS 66202-3931
Phone (913) 530-3837

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
3830KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1871741058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 METCALF AVE",
            "address_2": "SUITE 114",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023931",
            "telephone_number": "913-530-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 METCALF AVE",
            "address_2": "SUITE 114",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023931",
            "telephone_number": "913-530-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTIMANO",
        "first_name": "MEEKA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-30",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.