Katherine Renee Malone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2010039063 Issued in MO

Practice address

136 E Walnut St
Ste 102
Independence, MO 64050-3990

Phone

(816) 318-4430

NPI assigned

Jan 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1871899435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 NW WILLOW DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298014",
            "telephone_number": "816-920-3085",
            "fax_number": "816-581-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E WALNUT ST",
            "address_2": "STE 102",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503990",
            "telephone_number": "816-318-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KATHERINE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6772",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010039063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayatri Prabhakara Sameer Kumar Majety, M.B.B.S
• Melvon Makun, RN, RRT, AE-C
• Rajesh Malhotra, M.D.
• Gracie Lauren Malicoat
• Kathleen Kate Shannen T Maliwat
• Nicole Mandacina
• Bishop Bowman Manlimos
• Cheryl Lee Mann, LPC LCSW
• Jaclyn Nicole Mansfield
• Manual Therapy Center, LLC

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.

Verify at the official NPI Registry.