Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jay L. Memmott, LCSW

Individual provider Clinical Social Worker · NPI 1548466154

Jay L. Memmott, LCSW is a Clinical Social Worker in Overland Park, Kansas. Qualified in 1977, 49 years ago. Practices with Psychiatric and Counseling Associates LLC, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
49
Licensed in
KS
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

8400 W 110th St Ste 250
Overland Park, KS 66210-2461
Phone: (913) 327-7505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12425 Long St, Overland Park, KS 66213-2443 — (785) 331-7734

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LSCSW 0545 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0545 (KS)

Record details

NPI number1548466154
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 21, 2007
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Psychiatric And Counseling Associates Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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