Organization Active NPI

Samantha Smith Lscsw RPT

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1598429102
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAMANTHA SMITH LSCSW RPT
Practice address
250 N Rock Rd Ste 110
Wichita, KS 67206-2262
Phone
(316) 640-2584
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Lauren Samantha Smith, LSCSW RPTNPI 1508240664
Title
Owner
Phone
(316) 640-2584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

250 N Rock Rd Ste 110
Wichita, KS 67206-2262

Mailing address

250 N Rock Rd Ste 110
Wichita, KS 67206-2262
Phone (316) 640-2584

National Provider Directory

National Provider Directory

Locations

250 N Rock Rd
Ste 110
Wichita, KS 67206
Phone (316) 640-2584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1598429102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062262",
            "telephone_number": "316-640-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062262",
            "telephone_number": "316-640-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA SMITH LSCSW RPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-640-2584",
        "authorized_official_credential": "LSCSW RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.