Samantha Kay Sanchez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12318 Issued in KS

Practice address

901 Kentucky St Ste 306
Lawrence, KS 66044-2858

Phone

(785) 550-9517

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Samantha Kay Shackelford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1053087452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 LEGEND TRAIL DR UNIT A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472535",
            "telephone_number": "785-550-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KENTUCKY ST STE 306",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442858",
            "telephone_number": "785-550-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SHACKELFORD",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Durland
• Kimberly Samuelson, LMSW
• Michelle Samuelson, PHARMD
• Cassandra Sanchez, RBT
• Oscar Alberto Sanchez
• Zachary Sanchez, MS, ATC
• Neela Wynn Sandal, M.D.
• Ashley Sanders, RPT
• Kelby Sanders, LAC
• Hayley Sandgren, LMSW

• Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.