Tamara Shefferd, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5198 Issued in KS

Practice address

700 Oregon St Ste 9
Hiawatha, KS 66434-2232

Phone

(785) 288-6253

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tamara Gibson Professional name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shefferd Incorporated

  • Clinical Social Worker
  • Hiawatha, KS
  • NPI 1245855121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1053726232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N 4TH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664341518",
            "telephone_number": "785-220-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OREGON ST STE 9",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-288-6253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342774",
            "country_code": "US",
            "telephone_number": "785-742-7113",
            "fax_number": "785-742-3085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFFERD",
        "first_name": "TAMARA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9271",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "GIBSON",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Simone Seibert McDonald, LMSW
• Self Connect Wellness, LLC
• Kristen Selland, APRN
• John Michael Sheeran Jr., PT
• Shefferd Incorporated
• Kayla Lee Sims, FNP
• Gary Sinning, MD
• Stallbaumer Family Chiropractic LLC
• James Robert Stallbaumer, D.C.
• Kelsey Stallbaumer, D.C.

• Clinical Social Worker in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.