Individual provider Active NPI

Mary Elizabeth Archer, LSCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1356889059
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4965 Issued in KS
Practice address
25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573
Phone
(816) 387-3215
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4965 KS Primary

Addresses

Primary practice location

25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573

Mailing address

25055 W Valley Pkwy Ste 102
Olathe, KS 66061-8573
Phone (816) 387-3215

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
I20200219000319 KS Practitioner - Clinical Social Worker 0446687164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Archer, LLCGroup PAC ID 1658805189, 6 clinicians

Practice addresses (Care Compare)

25055 W Valley Pkwy
Suite 102
Olathe, KS 66061-8573
Phone (913) 494-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Archer, LLC Clinical CurrentSince Oct 17, 2024 Accepting new patients

Locations

25055 W Valley Pkwy
Ste 102
Olathe, KS 66061
Phone (913) 494-8550

110 N Cherry St
Ste 110
Olathe, KS 66061
Phone (210) 325-9823

110 N Cherry St
Ste 100
Olathe, KS 66061
Phone (816) 387-3215

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1356889059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25055 W VALLEY PKWY STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618573",
            "telephone_number": "816-387-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25055 W VALLEY PKWY STE 102",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618573",
            "telephone_number": "816-387-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.