Individual provider Active NPI

Martha Diane Carolan-Stegman, LSCSW

  • Clinical Social Worker
  • Leawood, KS
National Provider Identifier
1093729337
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
813 Issued in KS
Practice address
4601 College Blvd., Suite 275
Leawood, KS 66211
Phone
(913) 353-4302
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 I3951 OH
Clinical Social Worker 1041C0700X 813 KS Primary

Addresses

Primary practice location

4601 College Blvd., Suite 275
Leawood, KS 66211

Mailing address

9520 W 148TH St
Overland Park, KS 66221-8203
Phone (913) 353-4302

Other names 1

  • Diane Carolan-Stegman Professional name

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
I20190619000775 KS Practitioner - Clinical Social Worker 0345269544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9520 W 148TH St
Overland Park, KS 66221-8203
Phone (913) 353-4302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3951OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Carolan Stegman Psychotherapy LLC Clinical CurrentSince Sep 1, 2005 Accepting new patients
South Suburban Mental Health Group Clinical Past Accepting new patients

Locations

4601 College Blvd
Ste 275
Leawood, KS 66211
Phone (913) 353-4302

500 Lincoln Park Blvd
Ste 308
Kettering, OH 45429
Phone (937) 298-6288

Organizations & group practices 2

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1093729337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 W 148TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218203",
            "telephone_number": "913-353-4302",
            "fax_number": "913-225-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 COLLEGE BLVD., SUITE 275",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-353-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLAN-STEGMAN",
        "first_name": "MARTHA",
        "middle_name": "DIANE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I3951",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "CAROLAN-STEGMAN",
            "credential": "LCSW, LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.