Individual provider Active NPI

Elizabeth Ann Farrah, LCSW

  • Social Worker
  • Springfield, MO
National Provider Identifier
1902545700
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2020014319 Issued in MO
Practice address
2454 S Westwood Ave
Springfield, MO 65807-3388
Phone
(573) 321-0290
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2020014319 MO Primary

Addresses

Primary practice location

2454 S Westwood Ave
Springfield, MO 65807-3388

Mailing address

2454 S Westwood Ave
Springfield, MO 65807-3388
Phone (573) 321-0290

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
I20230531000206 MO Practitioner - Clinical Social Worker 0840657276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Holly L RamaekerGroup PAC ID 3274907530, 6 clinicians

Practice addresses (Care Compare)

1420 NW Vivion Rd
Suite 108
Kansas City, MO 64118-4511
Phone (816) 366-5515

800 Westport Rd
Kansas City, MO 64111-3145
Phone (816) 366-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020014319MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holly L. Ramaeker CurrentSince May 4, 2024 Accepting new patients

Locations

1420 NW Vivion Rd
Ste 108
Kansas City, MO 64118
Phone (816) 329-9107

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1902545700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 S WESTWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073388",
            "telephone_number": "573-321-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 S WESTWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073388",
            "telephone_number": "573-321-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2020014319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.