Individual provider Active NPI

Shannon Conover, LMSW

  • Social Worker
  • Lawrence, KS
National Provider Identifier
1598382129
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11685 Issued in KS
Practice address
3601 Clinton Pkwy Apt C201
Lawrence, KS 66047-2230
Phone
(316) 617-1415
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11685 KS Primary

Addresses

Primary practice location

3601 Clinton Pkwy Apt C201
Lawrence, KS 66047-2230

Mailing address

3601 Clinton Pkwy Apt C201
Lawrence, KS 66047-2230
Phone (316) 617-1415

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
I20240307000549 KS Practitioner - Clinical Social Worker 0244676781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11685KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Healing Collective, LLC CurrentSince Feb 19, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1598382129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CLINTON PKWY APT C201",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472230",
            "telephone_number": "316-617-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CLINTON PKWY APT C201",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472230",
            "telephone_number": "316-617-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "SHANNON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.