Individual provider Active NPI

Connie S Sandate, LSCSW

  • Clinical Social Worker
  • Newton, KS
National Provider Identifier
1629096151
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 1593 Issued in KS
Practice address
905 E Broadway St
Newton, KS 67114-3043
Phone
(316) 204-9667
Fax
(316) 204-9667
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW 1593 KS Primary

Addresses

Primary practice location

905 E Broadway St
Newton, KS 67114-3043

Mailing address

905 E Broadway St
Newton, KS 67114-3043
Phone (316) 204-9667

Other identifiers 3

IdentifierTypeStateIssuer
100005400AMedicaidKS
044795OtherKSBLUE CROSS BLUE SHIELD
8000010217OtherKSRR MEDICARE

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
I20050504001139 KS Practitioner - Clinical Social Worker 1456391820 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1148 S Hillside St
Suite 104
Wichita, KS 67211-4005
Phone (316) 687-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 1593KSMDClinical Social Worker
1593KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Connie S Sandate Lscsw LLC Clinical Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1629096151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143043",
            "telephone_number": "316-204-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143043",
            "telephone_number": "316-204-9667",
            "fax_number": "316-204-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDATE",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005400A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "044795",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "8000010217",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.