Individual provider Active NPI

Noelle Pilla, LMSW

  • Social Worker
  • Independence, MO
National Provider Identifier
1932076965
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2025036975 Issued in MO
Practice address
224 W Maple Ave
Independence, MO 64050-2816
Phone
(816) 381-7690
Fax
(816) 381-7652
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 2025036975 MO Primary

Addresses

Primary practice location

224 W Maple Ave
Independence, MO 64050-2816

Mailing address

224 W Maple Ave
Independence, MO 64050-2816
Phone (816) 381-7690

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
2025036975MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Life LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

224 W Maple Ave
Independence, MO 64050
Phone (816) 381-7690

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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1932076965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W MAPLE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502816",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W MAPLE AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502816",
            "telephone_number": "816-381-7690",
            "fax_number": "816-381-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLA",
        "first_name": "NOELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2025036975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.