Active NPI
Michael D McCrary, LSCSW
- Clinical Social Worker
- Overland Park, KS
National Provider Identifier
1952410151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2080
- Practice address
- 15118 Glenwood Ave
Overland Park, KS 66223-3338 - Phone
- (913) 715-7950
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2080 | KS | Primary |
Addresses
Primary practice location
15118 Glenwood Ave
Overland Park, KS 66223-3338
Mailing address
6000 Lamar Ave
Ste 130
Mission, KS 66202-3234
Phone (913) 831-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30854034 | Other | BCBS OF KC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2080 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BPH LLC | Past | Accepting new patients | |
| Johnson County Mental Health Center | Past | Accepting new patients | |
| John T Bopp PC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission, KS
- NPI 1174513444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952410151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAMAR AVE",
"address_2": "STE 130",
"city": "MISSION",
"state": "KS",
"postal_code": "662023234",
"telephone_number": "913-831-2550",
"fax_number": "913-826-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15118 GLENWOOD AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662233338",
"telephone_number": "913-715-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRARY",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC",
"identifier": "30854034",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.