Individual provider Active NPI

Christine Elizabeth Fuhrman, LSCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1174802052
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4410 Issued in KS
Practice address
480 S. Rogers Road
Olathe, KS 66064-1706
Phone
(913) 324-3811
NPI assigned
Aug 10, 2011
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1146 CO
Clinical Social Worker 1041C0700X 4410 KS Primary
Clinical Social Worker 1041C0700X 2013044013 MO

Addresses

Primary practice location

480 S. Rogers Road
Olathe, KS 66064-1706

Mailing address

480 S. Rogers Road
Olathe, KS 66064-1706
Phone (913) 324-3811

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
I20180731003041 KS Practitioner - Clinical Social Worker 0941558480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1146COMDClinical Social Worker
2013044013MOMDClinical Social Worker
4410KSMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidstlc, Inc. CurrentSince May 29, 2018 Accepting new patients

Locations

480 S Rogers Rd
Olathe, KS 66062
Phone (913) 324-3849

620 S Rogers Rd
Olathe, KS 66062
Phone (913) 324-3823

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1174802052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 S. ROGERS ROAD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660641706",
            "telephone_number": "913-324-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S. ROGERS ROAD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660641706",
            "telephone_number": "913-324-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMAN",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1146",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4410",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013044013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.