Individual provider Active NPI

Alan D Banwart, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1609124718
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4318 Issued in KS
Practice address
14221 Metcalf Ave Ste 119
Overland Park, KS 66223-3301
Phone
(913) 353-6053
Fax
(888) 389-5175
NPI assigned
Aug 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 4318 KS Primary
Social Worker 104100000X 2011025106 MO

Addresses

Primary practice location

14221 Metcalf Ave Ste 119
Overland Park, KS 66223-3301

Mailing address

7839 W 197TH St
Stilwell, KS 66085-9508
Phone (816) 589-1058

Other identifiers 1

IdentifierTypeStateIssuer
200653410DMedicaidKS

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
I20190508002179 KS Practitioner - Clinical Social Worker 9931441185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14221 Metcalf Ave
Suite 119
Overland Park, KS 66223-3301
Phone (913) 353-6053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011025106MOMDSocial Worker
4318KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Strength Counseling, LLC Clinical CurrentSince Jul 3, 2023 Accepting new patients

Locations

14221 Metcalf Ave
Ste 119
Overland Park, KS 66223
Phone (913) 214-2814

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1609124718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7839 W 197TH ST",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660859508",
            "telephone_number": "816-589-1058",
            "fax_number": "888-389-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 METCALF AVE STE 119",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233301",
            "telephone_number": "913-353-6053",
            "fax_number": "888-389-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANWART",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4318",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2011025106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200653410D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.