DR. JESSICA AGUDELO BENITO (NPI# 1821405036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821405036 |
| Entity Type | Individual |
| Full Name | DR. JESSICA AGUDELO BENITO |
| Credential | DSW, LCSW |
| Practice Address |
435 Nichols Rd Ste 200 Kansas City MO 64112-2036 |
| Mailing Address |
Po Box 901348 Kansas City MO 64190-1348 |
| Practice Telephone | 8163682000 |
| Mailing Telephone | 8165350975 |
| Mailing Fax Number | 8162981452 |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 092290 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2018003790 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Nw Briarcliff Pkwy Fl 2, Kansas City, MO 641161878 | 8163682000 | |
| 7280 Nw 87th Ter Ste C210, Kansas City, MO 641533720 | 8163682000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964348 | Jessica Benito | Behavior Technician | 9727 Nw 5th Ter, Miami, FL 33172-4012 | 2020-08-28 |
| Street Address |
435 NICHOLS RD STE 200 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64112-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992058184 | The Luminaries Project LLC | Psychologist | 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 | 2012-10-25 |
| 1508369281 | Patterns Behavioral Services Missouri, Inc | Behavior Technician | 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 | 2018-03-09 |
| 1598206534 | Kansas Medical Supplies | Durable Medical Equipment & Medical Supplies | 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 | 2017-03-09 |
| 1215380837 | Crescent Health Services Inc | In Home Supportive Care | 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 | 2016-07-19 |
| 1326407420 | Khiara Carmalita Drew | Dentist | 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634209 | Jackson Health Supplies | Durable Medical Equipment & Medical Supplies | 4741 Central St., #527, Kansas, MO 64112 | 2017-08-09 |
| 1376784835 | Midtown Family Medicine PC | Family Medicine | 4620 J. C. Nichols Parkway, Suite 405, Kansas City, MO 64112 | 2009-03-13 |
| 1356502041 | Kasey Lawrence Call | Dentist | 4700 Bellview, Suite L10, Kansas City, MO 64112 | 2008-06-24 |
| 1154488872 | Joyce M Tobiasen | Psychologist | 1 Ward Parkway, Ste. 107, Kansas City, MO 64112 | 2007-01-02 |
| 1457446577 | Gary Patrick Morgan | Dentist | 801 W 47th Street, Ste 408, Kansas City, MO 64112 | 2006-10-04 |
| 1942393541 | Midwest Christian Counseling Center | Voluntary or Charitable | 4800 Main, Suite G29, Kansas City, MO 64112 | 2006-10-02 |
| 1154436715 | Gregory John Stelzer | Dentist | 315 Nichols Rd 198, Kansas City, MO 64112 | 2006-08-21 |
| 1477583136 | James Garrett Bunton | Dentist | 4635 Wyandotte, Suite 200, Kansas City, MO 64112 | 2006-07-05 |
| 1508271834 | Jessica Niederee | Dentist | 4746 Belleview Ave, Kansas City, MO 64112 | 2014-06-25 |
| 1629207709 | Anna Maria Bellatin PC | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2009-07-09 |
| Find all providers in zip 64112 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1114533411 | Cheryl Gunn Seidler | Social Worker | 7211nw 83rd Street Suite 350, Kansas City, MO 64152-6415 | 2020-09-22 |
| 1871106989 | Anne Mari Bethune | Social Worker | 1260 W 59th St, Kansas City, MO 64113-1149 | 2020-08-28 |
| 1922619154 | Alicia D Smith | Social Worker | 8816 E 110th St, Kansas City, MO 64134-3036 | 2020-08-11 |
| 1912523119 | Crystal Rose Reckker | Social Worker | 1204 Ne 85th Ter, Kansas City, MO 64155-2671 | 2020-06-23 |
| 1013530054 | Carol Thoma-perry | Social Worker | 516 E 66th Ter, Kansas City, MO 64131-1144 | 2020-05-26 |
| 1972125193 | Jena Fouraker | Social Worker | 1000 E 24th St Ste 2e, Kansas City, MO 64108-2776 | 2020-05-11 |
| 1568095354 | Thomas Counseling LLC | Social Worker | 3000 Ne Brooktree Ln Ste 230, Kansas City, MO 64119-1890 | 2020-02-19 |
| 1942856760 | Paola Maria Capra | Social Worker | 11509 Campbell St, Kansas City, MO 64131-3830 | 2019-08-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.