Maddison Smith
Individual provider Active NPI Clinical Social Worker · McConnell Afb, KS
NPI 1134819568 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1134819568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW06164 (KS)
- Practice address
- 57950 Leavenworth St
McConnell Afb, KS 67221-3505 - Phone
- (316) 759-4170
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW06164 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas School of Medicine Wichita Medical Practice Assoc | Current |
Accepting new patients |
Locations
1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647
1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622
8533 E 32nd St N
Wichita, KS 67226
Phone (316) 293-2622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW06164 | KS | Yes |
Addresses
Primary practice location
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Mailing address
8533 E 32ND St N
Wichita, KS 67226-2611
Phone (316) 293-3544
Other providers in McConnell Afb, KS
- Zachary William Schurch
- Melissa K Servis
- Lee D Shibley
- James Daniel Sigler
- Charissa Marie Slater
- Jonathan David Taylor
- Ryan J Thordal
- Diane Todd
- Mark Truxillo
- Jarron Robert Turnbull
All providers in McConnell Afb, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.