Active NPI
Jessica Marie Sholin, LMSW
- Social Worker
- Manhattan, KS
National Provider Identifier
1417419516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10982
- Practice address
- 1115 Westport Dr Ste DW
Manhattan, KS 66502-2880 - Phone
- (785) 527-8271
- Fax
- (785) 527-8317
- NPI assigned
- Apr 5, 2019
- Last updated
- Apr 5, 2019
- 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 | 10982 | KS | Primary |
Addresses
Primary practice location
1115 Westport Dr Ste DW
Manhattan, KS 66502-2880
Mailing address
1329 18TH St
Belleville, KS 66935-2209
Phone (785) 527-8271
Other practice location 1
1329 18th St
Belleville, KS 66935-2209
Phone (785) 527-8271
Other names 1
- Jessica Marie Claussen
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 |
|---|---|---|---|
| 10982 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courser Lapo Inc | Social Worker | Past | Accepting new patients |
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.
-
dba Courser Lapo Therapeutic Wellness
- Clinical Social Worker
- Belleville, KS
- NPI 1225417439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1417419516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 18TH ST",
"city": "BELLEVILLE",
"state": "KS",
"postal_code": "669352209",
"telephone_number": "785-527-8271",
"fax_number": "785-527-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 WESTPORT DR STE DW",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022880",
"telephone_number": "785-527-8271",
"fax_number": "785-527-8317"
}
],
"practiceLocations": [
{
"address_1": "1329 18th St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "KS",
"postal_code": "669352209",
"country_code": "US",
"telephone_number": "785-527-8271",
"fax_number": "785-527-8317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOLIN",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "10982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CLAUSSEN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.