Active NPI
Cheryl R Graves, MSW, LCSW, LSCSW
- Clinical Social Worker
- Mission, KS
National Provider Identifier
1902059249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3963
- Practice address
- 5201 Johnson Dr Ste 210
Mission, KS 66205-2920 - Phone
- (913) 313-2044
- Fax
- (913) 499-7045
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007033166 | MO | |
| Clinical Social Worker | 1041C0700X | 3963 | KS | Primary |
Addresses
Primary practice location
5201 Johnson Dr Ste 210
Mission, KS 66205-2920
Mailing address
5201 Johnson Dr Ste 210
Mission, KS 66205-2920
Phone (913) 313-2044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942783535 | Other | KS | SUNFLOWER PSYCHOLOGICAL LLC NPI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007033166 | MO | MD | Clinical Social Worker |
| 3963 | KS | MD | Speech-Language Pathologist |
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": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1902059249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 JOHNSON DR STE 210",
"city": "MISSION",
"state": "KS",
"postal_code": "662052920",
"telephone_number": "913-313-2044",
"fax_number": "913-499-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 JOHNSON DR STE 210",
"city": "MISSION",
"state": "KS",
"postal_code": "662052920",
"telephone_number": "913-313-2044",
"fax_number": "913-499-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "CHERYL",
"middle_name": "R",
"credential": "MSW, LCSW, LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007033166",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "3963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUNFLOWER PSYCHOLOGICAL LLC NPI",
"identifier": "1942783535",
"state": "KS"
}
],
"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 Jan 9, 2020; 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.