Samantha Attkisson-Shrimplin, LSCSW, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4358 Issued in KS

Practice address

1201 Wakarusa Dr BLDG E
Suite E2 103
Lawrence, KS 66049-4722

Phone

(785) 806-2821

Fax

(785) 856-0390

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1346476991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 COLLEGE ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660064017",
            "telephone_number": "785-806-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR BLDG E",
            "address_2": "SUITE E2 103",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494722",
            "telephone_number": "785-806-2821",
            "fax_number": "785-856-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTKISSON-SHRIMPLIN",
        "first_name": "SAMANTHA",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4358",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106180B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.