MICHAEL SHANE KELSO (NPI# 1932292331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932292331 |
| Entity Type | Individual |
| Full Name | MICHAEL SHANE KELSO |
| Credential | LSCSW |
| Practice Address |
6000 Lamar Ave Ste 130 Mission KS 66202-3234 |
| Practice Telephone | 9138312550 |
| Practice Fax Number | 9138261589 |
| Mailing Telephone | 9138312550 |
| Mailing Fax Number | 9138261589 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2010-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
234 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS OF KC | 09544033 | 01 | |
| KS | 100098010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700147188 | Michael Gavin Kelso | Pharmacist | Psc 482, Fpo, AP 96362-9998 | 2012-06-01 |
| 1679868277 | Michael Kelso Jr. | Internal Medicine | 1340 Matthews Township Pkwy Ste 301, Matthews, NC 28105-4681 | 2011-06-13 |
| Street Address |
6000 LAMAR AVE STE 130 |
| City | MISSION |
| State | KS |
| Zip Code | 66202-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803800 | Cynthia Lann Claxton | Social Worker | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2005-10-05 |
| 1447791298 | Carolyn Stepp | Social Worker | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2017-03-13 |
| 1174060099 | Jessica Patterson | Social Worker | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2017-01-30 |
| 1306382965 | Amanda Harlow | Social Worker | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2017-01-06 |
| 1104210392 | Jordan Boux | Psychologist | 6000 Lamar Ave, Mission, KS 66202-3234 | 2015-03-25 |
| 1891102679 | Haley Hoffman | Social Worker | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2014-07-14 |
| 1528474228 | Cynthia Sandin | Registered Nurse | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2014-07-02 |
| 1285058040 | Catrina Osei | Registered Nurse | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2014-02-13 |
| 1134542541 | Anna Mueller | Registered Nurse | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2014-01-22 |
| 1780006288 | Sally Williams | Counselor | 6000 Lamar Ave, Suite 130, Mission, KS 66202-3234 | 2014-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863224 | Megan O'rear | Physical Therapist | 6907 Shawnee Mission Parkway, Ste. 207, Overland Park, KS 66202 | 2020-02-18 |
| 1114558194 | Erika Lynne Cool | Advanced Practice Midwife | 6131 Terrydale St., Merriam, KS 66202 | 2020-01-29 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1831736099 | Lida Rose Keller | Registered Nurse | 6907 Shawnee Mission Parkway, Suite 207, Overland Park, KS 66202 | 2019-12-06 |
| 1215586235 | Stacy Grabowski | Physical Therapist | 6907 Shawnee Mission Pkwy, Ste. 207, Overland Park, KS 66202 | 2019-09-11 |
| 1932582566 | David Christian Murphy | Internal Medicine | 5030 Glenwood Dr., Mission, KS 66202 | 2015-07-01 |
| 1043609068 | Matthew M Christopher | Physical Therapy Assistant | 6616 Santa Fe Dr, Overland Park, KS 66202 | 2015-01-14 |
| 1710385786 | Tiffany Lorraine Eckland | Occupational Therapist | 8115 Shawnee Mission Parkway, Ste. #100, Merriam, KS 66202 | 2014-12-08 |
| 1720490261 | Antioch Dentistry Pa | Dentist | 5750 Antioch Road, Merriam, KS 66202 | 2014-06-02 |
| 1730529710 | Sierra Lynn Wright | Social Worker | 6000 Lamar Avenue, Suite 130, Mission, KS 66202 | 2013-07-05 |
| Find all providers in zip 66202 | ||||
| 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 |
|---|---|---|---|---|
| 1013553734 | Denean Winslett Jones | Social Worker | 5618 Lamar Ave, Mission, KS 66202-2543 | 2019-11-18 |
| 1841856945 | Laura Christine Hattrup | Social Worker | 5515 Foxridge Dr Ste 5, Mission, KS 66202-1509 | 2019-05-14 |
| 1932672672 | Yazmina Lopez | Social Worker | 611 Thornwood St, Mission, TX 78574-2315 | 2019-01-04 |
| 1104135094 | Lucia Leo- Diaz | Social Worker | 1200 N Dunlap Ave, Suite A, Mission, TX 78572-3933 | 2010-09-27 |
| 1619110301 | Michelle Lynne Pettijohn | Social Worker | 5960 Dearborn St Ste 1, Mission, KS 66202-3342 | 2009-04-11 |
| 1902059249 | Cheryl R Graves | Social Worker | 5201 Johnson Dr Ste 210, Mission, KS 66205-2920 | 2008-10-30 |
| 1164551818 | Hope Suzanne Baier-cannon | Social Worker | 5408 W 58th Ter, Mission, KS 66205-2856 | 2007-03-05 |
| 1174542393 | Margaret Weiler | Social Worker | 5201 Johnson Dr, Mission, KS 66205-2908 | 2006-07-19 |
| 1639104219 | Robert J Cooper II | Social Worker | 2210 N Mayberry Rd, Mission, TX 78572-2933 | 2006-07-11 |
| 1457303489 | Jane Packer Gerber | Social Worker | 4018 Lark Dr, Mission, TX 78572-4994 | 2006-05-17 |
| Find all providers in MISSION | ||||
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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.