Individual provider Active NPI

Shari Ann Lanzendorf, LCSW

  • Clinical Social Worker
  • Kansas City, KS
National Provider Identifier
1083506802
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06890 Issued in KS
Practice address
1301 N 47TH St
Kansas City, KS 66102-1705
Phone
(913) 328-4600
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2002003251 MO
Clinical Social Worker 1041C0700X 06890 KS Primary

Addresses

Primary practice location

1301 N 47TH St
Kansas City, KS 66102-1705

Mailing address

4331 Eaton St
Kansas City, KS 66103-3507
Phone (913) 515-6475

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251117002754 KS Practitioner - Clinical Social Worker 5496246589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 N 47TH St
Kansas City, KS 66102-1705

757 Armstrong Ave
Kansas City, KS 66101-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06890KSMDClinical Social Worker
2002003251MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Center for Community Behavioral Healthcare, Inc. CurrentSince Sep 4, 2025 Accepting new patients

Locations

757 Armstrong Ave
Kansas City, KS 66101

1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007

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.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1083506802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 EATON ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033507",
            "telephone_number": "913-515-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 47TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021705",
            "telephone_number": "913-328-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZENDORF",
        "first_name": "SHARI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002003251",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.