Michelle Dawn Stafford, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06458 Issued in KS

Practice address

1601 W 16TH St
Wellington, KS 67152-8125

Phone

(620) 326-7448

Fax

(620) 326-6662

NPI assigned

Jun 23, 2011

Last updated

Jul 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sumner Mental Health CenterGroup PAC ID 1759337959, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sumner Mental Health Center

  • Mental Health Counselor
  • Wellington, KS
  • NPI 1093735896
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1477849925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 16TH ST",
            "address_2": "P O BOX 607",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528125",
            "telephone_number": "620-326-7448",
            "fax_number": "620-326-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528125",
            "telephone_number": "620-326-7448",
            "fax_number": "620-326-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229020A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Nicole Shields, RN
• Andrew Lee Shimer, SLP-CCC
• Natalie Nichole Shirley
• Mellissa D Simko, P.A.
• Tracey L. Small, APRN, PMHNP-BC
• Gwen Marie Stalcup, D.D.S.
• Steven a Kuhl OD, LLC
• Susan L Stevens, FNP
• Stone Physical Therapy
• Heather Dawn Stone, PT

• Clinical Social Worker in Wellington, KS
• Providers in Wellington, 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 Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.