Individual provider Active NPI

Lisa Cannady, LSCSW, MSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1427405117
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 4406 Issued in KS
Practice address
23600 College Blvd Ste 200
Olathe, KS 66061-8709
Phone
(913) 538-0274
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 2015025795 MO
Clinical Social Worker 1041C0700X LSCSW 4406 KS Primary

Addresses

Primary practice location

23600 College Blvd Ste 200
Olathe, KS 66061-8709

Mailing address

917 N Sumac St
Olathe, KS 66061-5976
Phone (913) 353-9020

Other practice location 1

25955 W 327th St
Paola, KS 66071-4920
Phone (913) 557-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 4406KSMDClinical Social Worker
LCSW 2015025795MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Resources Inc. CurrentSince Sep 25, 2019 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Feb 8, 2023 Accepting new patients

Locations

6840 Silverheel St
Shawnee, KS 66226
Phone (913) 322-6455

511 SW Jackson St
Topeka, KS 66603
Phone (785) 232-1349

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1427405117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N SUMAC ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615976",
            "telephone_number": "913-353-9020",
            "fax_number": "913-353-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 COLLEGE BLVD STE 200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618709",
            "telephone_number": "913-538-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25955 W 327th St",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660714920",
            "country_code": "US",
            "telephone_number": "913-557-9096",
            "fax_number": "913-294-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNADY",
        "first_name": "LISA",
        "credential": "LSCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "LCSW 2015025795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.