Individual provider Active NPI

Sarah Lange

  • Clinical Social Worker
  • Chanute, KS
National Provider Identifier
1629332978
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5199 Issued in KS
Practice address
1322 S Grant Ave
Chanute, KS 66720-2854
Phone
(620) 431-7890
NPI assigned
Jul 2, 2012
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 5199 KS Primary

Addresses

Primary practice location

1322 S Grant Ave
Chanute, KS 66720-2854

Mailing address

1322 S Grant Ave
Chanute, KS 66720-2854

Other identifiers 1

IdentifierTypeStateIssuer
200962960AMedicaidKS

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
I20220301000727 KS Practitioner - Clinical Social Worker 0547654923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four County Mental Health Center IncGroup PAC ID 7012904071, 22 clinicians

Practice addresses (Care Compare)

3354 Hwy 160
Independence, KS 67301-7841
Phone (620) 331-1748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5199KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Kansas Mental Health Center CurrentSince Jan 25, 2022 Accepting new patients
Four County Mental Health Center, Inc. CurrentSince May 28, 2025 Accepting new patients
Four County Mental Health Center Inc CurrentSince May 28, 2025 Accepting new patients

Locations

1322 S Grant Ave
Chanute, KS 66720
Phone (620) 365-8641

1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

Organizations & group practices 3

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1629332978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 S GRANT AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 S GRANT AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202854",
            "telephone_number": "620-431-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962960A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.