Individual provider Active NPI

Denise Kamm, LCSW

  • Clinical Social Worker
  • Liberty, MO
National Provider Identifier
1881075885
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2015000972 Issued in MO
Practice address
9 Victory Dr
Liberty, MO 64068-3807
Phone
(816) 268-8501
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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 2015000972 MO Primary

Addresses

Primary practice location

9 Victory Dr
Liberty, MO 64068-3807

Mailing address

1911 Meadowlane
Kearney, MO 64060-8730
Phone (913) 626-1431

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
I20150722005468 MO Practitioner - Clinical Social Worker 6103139977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northland Psychological Associates LLCGroup PAC ID 8729130778, 2 clinicians

Practice addresses (Care Compare)

9 Victory Dr
Suite 2B
Liberty, MO 64068-3807
Phone (816) 268-8501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Psychological Associates LLC CurrentSince Jul 17, 2015 Accepting new patients

Locations

5950 N Oak Trfy
Ste 104
Kansas City, MO 64118
Phone (816) 268-8501

9 Victory Dr
Ste 2B
Liberty, MO 64068
Phone (816) 268-8501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1881075885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MEADOWLANE",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608730",
            "telephone_number": "913-626-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VICTORY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683807",
            "telephone_number": "816-268-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMM",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015000972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.