Shana Moriarty, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005597 Issued in KS

Practice address

2300 S 4TH St
Leavenworth, KS 66048-4511

Phone

(913) 565-0364

Fax

(833) 281-1587

NPI assigned

Oct 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1639654049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484511",
            "telephone_number": "913-565-0364",
            "fax_number": "833-281-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484511",
            "telephone_number": "913-565-0364",
            "fax_number": "833-281-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485014",
            "country_code": "US",
            "telephone_number": "913-682-2000 x53501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "SHANA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "005597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Geneva Moore, M.D.
• Nikita P Moore, RT
• Sierra Moore
• Marcela Irma Morales, NP-C
• Peggy Lynn Moran, ARNP
• Karen Morris, LPC
• Jessica Nicole Mosqueda, LMSW
• Kimberly Diane Motley, LPN
• Emily Lauren Mowery, RN
• Michael Mowery, PT

• Clinical Social Worker in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.