NPIMap

Organization Active NPI

Samantha Runnion, Lscsw, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1689027070
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4078 Issued in KS
Legal business name
SAMANTHA RUNNION, LSCSW, LLC
Practice address
7570 W 21St St N.
Building 1046, Suite a
Wichita, KS 67205-6720
Phone
(316) 777-6718
Fax
(316) 462-0629
NPI assigned
Jul 20, 2016
Last updated
Jan 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Authorized official

Name
Samantha Valene RunnionNPI 1912104597
Title
Mental Health Therapist
Phone
(316) 777-6718

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 Worker 1041C0700X 4078 KS Primary

Addresses

Primary practice location

7570 W 21St St N.
Building 1046, Suite a
Wichita, KS 67205-6720

Mailing address

7570 W 21St St N
Building 1046, Suite a
Wichita, KS 67205-1734
Phone (316) 777-6718

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha@affinitymentalwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227001692 KS Part B Supplier - Clinic/Group Practice 5496039083 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

11828 W Central Ave
Ste 104
Wichita, KS 67212
Phone (316) 613-3995

9235 W Central Ave
Wichita, KS 67212
Phone (316) 777-6718

Interoperability endpoints

  • Direct secure messaging: samantha@affinitymentalwellness.com

Practitioners & affiliated clinicians

Practitioners 12

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1689027070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "BUILDING 1046, SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-777-6718",
            "fax_number": "316-462-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N.",
            "address_2": "BUILDING 1046, SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672056720",
            "telephone_number": "316-777-6718",
            "fax_number": "316-462-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA RUNNION, LSCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "RUNNION",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "VALENE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "316-777-6718"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha@affinitymentalwellness.com",
            "affiliation": "N",
            "address_1": "7570 W 21st St N.",
            "address_2": "Building 1046, Suite A",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672056720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.