Individual provider Active NPI

Emily Jeffrey

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1942884697
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4921 Issued in KS
Practice address
8400 W 110TH St
Overland Park, KS 66210-2331
Phone
(913) 752-7842
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 4921 KS Primary

Addresses

Primary practice location

8400 W 110TH St
Overland Park, KS 66210-2331

Mailing address

4601 E Douglas Ave Ste 150
Wichita, KS 67218-1011
Phone (913) 752-7842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210520001810 KS Practitioner - Clinical Social Worker 1456750694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8400 W 110TH St
Suite 410
Overland Park, KS 66210-2307
Phone (913) 752-7842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4921KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Jeffrey Lscsw LLC Clinical CurrentSince Jan 9, 2026 Accepting new patients
John T Bopp PC Clinical Past Accepting new patients

Locations

8400 W 110th St
Ste 410
Overland Park, KS 66210
Phone (913) 491-3460

4601 E Douglas Ave
Ste 150
Wichita, KS 67218
Phone (423) 502-1508

Organizations & group practices 2

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1942884697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 E DOUGLAS AVE STE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181011",
            "telephone_number": "913-752-7842",
            "fax_number": "913-752-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102331",
            "telephone_number": "913-752-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.