Active NPI
Paul Leo Tamisiea, MS
- Clinical Social Worker
- Parkville, MO
National Provider Identifier
1972773703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004252
- Practice address
- 400 E 6TH St
Parkville, MO 64152-3703 - Phone
- (816) 587-4100
- Fax
- (816) 587-6691
- NPI assigned
- Mar 7, 2008
- 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 | 004252 | MO | Primary |
Addresses
Primary practice location
400 E 6TH St
Parkville, MO 64152-3703
Mailing address
400 E 6TH St
Parkville, MO 64152-3703
Phone (816) 587-4100
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1972773703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 6TH ST",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523703",
"telephone_number": "816-587-4100",
"fax_number": "816-587-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 6TH ST",
"city": "PARKVILLE",
"state": "MO",
"postal_code": "641523703",
"telephone_number": "816-587-4100",
"fax_number": "816-587-6691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMISIEA",
"first_name": "PAUL",
"middle_name": "LEO",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.