Active NPI
Samantha Joy Underwood, LMSW
- Social Worker
- Lenexa, KS
National Provider Identifier
1043519077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7557
- Practice address
- 12351 W 96TH Ter
Suite 300
Lenexa, KS 66215-4409 - Phone
- (913) 894-0900
- Fax
- (913) 894-8908
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7557 | KS | Primary |
Addresses
Primary practice location
12351 W 96TH Ter
Suite 300
Lenexa, KS 66215-4409
Mailing address
12425 W 120TH St
Apt. 1022
Overland Park, KS 66213-4838
Phone (913) 702-4077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-7368880 | Medicaid | KS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7557 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyandot Center for Community Behavioral Healthcare, Inc. | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Kansas City, KS
- NPI 1629159389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1043519077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12425 W 120TH ST",
"address_2": "APT. 1022",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662134838",
"telephone_number": "913-702-4077",
"fax_number": "913-894-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12351 W 96TH TER",
"address_2": "SUITE 300",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154409",
"telephone_number": "913-894-0900",
"fax_number": "913-894-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "SAMANTHA",
"middle_name": "JOY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23-7368880",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
- Brent Patrick Twiford
- Lori Lynn Tyler, BCBA
- U.S. Healthworks Medical Group of Kansas City, PA
- Ultimate Care Solution LLC
- Ultreia Health P.a.
- United Access of Kansas City LLC
- United Imaging Consultants, LLC
- United Imaging Consultants, LLC
- United RX of Kansas City, LLC
- Universal Medical Rentals and Equipment Sales, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.