Active NPI
Susan R. Bishop, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1154419745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2063
- Practice address
- 833 N Waco Ave
Suite 200
Wichita, KS 67203-3989 - Phone
- (316) 263-2351
- Fax
- (316) 263-3685
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2063 | KS | Primary |
Addresses
Primary practice location
833 N Waco Ave
Suite 200
Wichita, KS 67203-3989
Mailing address
833 N Waco Ave
Suite 200
Wichita, KS 67203-3989
Phone (316) 263-2351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200428120C | Medicaid | KS | |
| 071166 | Other | BCBS | |
| 100212200E | Medicaid | KS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614001340 | KS | Practitioner - Clinical Social Worker | 9234173816 |
Reassigns benefits to 1 organization Practice locations: Wichita, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Level LLC
Practice addresses (Care Compare)
345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level LLC | Clinical | Current | Accepting new patients |
Locations
345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110
9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110
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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1154419745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 N WACO AVE",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033989",
"telephone_number": "316-263-2351",
"fax_number": "316-263-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 N WACO AVE",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033989",
"telephone_number": "316-263-2351",
"fax_number": "316-263-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "SUSAN",
"middle_name": "R.",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200428120C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "071166",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100212200E",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.