Active NPI
Joanna Lee Short, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1356086169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW7911
- Practice address
- 530 N Ridge Rd Ste B
Wichita, KS 67212-6576 - Phone
- (316) 616-1055
- Fax
- (855) 633-0585
- NPI assigned
- May 5, 2022
- Last updated
- May 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW7911 | KS | Primary |
Addresses
Primary practice location
530 N Ridge Rd Ste B
Wichita, KS 67212-6576
Mailing address
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Phone (405) 896-8058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW7911 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, LLC | Social Worker | Current | Accepting new patients |
| Midwest Counseling Services, LLC | Past | Accepting new patients |
Locations
530 N Ridge Rd
Ste B
Wichita, KS 67212
Phone (316) 616-1055
101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1558022244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1356086169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W HEFNER RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731146631",
"telephone_number": "405-896-8058",
"fax_number": "855-223-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N RIDGE RD STE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672126576",
"telephone_number": "316-616-1055",
"fax_number": "855-633-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "JOANNA",
"middle_name": "LEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "LMSW7911",
"primary": true
}
],
"identifiers": [],
"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 May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.