Individual provider Active NPI

Beth Ann Sharbutt, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1154061422
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05703 Issued in KS
Practice address
2544 N Maize CT
Wichita, KS 67205-7324
Phone
(913) 982-8440
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 2021009241 MO
Clinical Social Worker 1041C0700X 05703 KS Primary

Addresses

Primary practice location

2544 N Maize CT
Wichita, KS 67205-7324

Mailing address

2544 N Maize CT Ste 100
Wichita, KS 67205-7358
Phone (316) 201-6047

Other identifiers 1

IdentifierTypeStateIssuer
1477915239MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AspireHealth Aspire Health

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
I20241010003201 KS Practitioner - Clinical Social Worker 2668904046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05703KSMDClinical Social Worker
2021009241MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Recovery LLC CurrentSince Aug 23, 2024 Accepting new patients
Healing Matters LLC Clinical CurrentSince Sep 23, 2024 Accepting new patients

Locations

2544 N Maize Ct
Ste 100
Wichita, KS 67205
Phone (316) 201-6047

825 N Waco Ave
Wichita, KS 67203
Phone (316) 201-6047

825 N Waco Ave
Ste 200
Wichita, KS 67203
Phone (316) 201-6047

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1154061422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 N MAIZE CT STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057358",
            "telephone_number": "316-201-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 N MAIZE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057324",
            "telephone_number": "913-982-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARBUTT",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021009241",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477915239",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AspireHealth",
            "affiliation": "Y",
            "endpointDescription": "333 Commerce St, Nashville, TN 37201-1826",
            "affiliationName": "Aspire Health",
            "address_1": "333 Commerce St",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372011826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.