Individual provider · Type 1 NPI

Jennifer L. Riddell

Clinical Social Worker · Gladstone, MO

NPI number 1164018016 Active

Practice location

6651 N Oak Trfy Ste 17
Gladstone, MO 64118-3353

Fax (816) 524-7008

Mailing address

1272 NE Windsor Dr
Lees Summit, MO 64086-5594

Other practice locations

  • 1272 NE Windsor Dr, Lees Summit, MO 64086-5594 · (816) 246-4465

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2011034098 (MO)

Clinical Social Worker: 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 interpers…

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About NPI 1164018016

Jennifer L. Riddell's National Provider Identifier is 1164018016, issued on Dec 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gladstone, MO. The record was last updated on Jun 10, 2025.