Individual provider Active NPI

Barbara Ellen Radov, MSW

  • Clinical Social Worker
  • Shawnee Mission, KS
National Provider Identifier
1982763173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0657 Issued in KS
Practice address
6400 Glenwood St
Suite #315
Shawnee Mission, KS 66202-4016
Phone
(913) 677-5255
Fax
(913) 677-5250
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0657 KS Primary

Addresses

Primary practice location

6400 Glenwood St
Suite #315
Shawnee Mission, KS 66202-4016

Mailing address

6400 Glenwood St
Suite #315
Shawnee Mission, KS 66202-4016
Phone (913) 677-5255

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

LicenseStateTypeSpecialty
0657KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Within LLC Clinical PastSince Jun 15, 2012 Accepting new patients

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982763173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 GLENWOOD ST",
            "address_2": "SUITE #315",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662024016",
            "telephone_number": "913-677-5255",
            "fax_number": "913-677-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 GLENWOOD ST",
            "address_2": "SUITE #315",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662024016",
            "telephone_number": "913-677-5255",
            "fax_number": "913-677-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOV",
        "first_name": "BARBARA",
        "middle_name": "ELLEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "0657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, 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.

Verify at the official NPI Registry.