Christina Sharrie Clarkson, TLMSW – Social Worker

Key facts

NPI: 1699440883
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 12197-T (KS)
Practice address: 22214 D St
Winfield, KS 67156-7376
Phone: (620) 221-9664
NPI assigned: Aug 10, 2021
Sex: Female
Sole proprietor: No

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.

Four County Mental Health Center Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Independence, KS · NPI 1841290251

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
12197-T	KS	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Four County Mental Health Center Inc		Past since Aug 15, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	12197-T	KS	Yes

Addresses

Primary practice location

22214 D St
Winfield, KS 67156-7376

Mailing address

22214 D St
Winfield, KS 67156-7376

Other names

Miss Christy S West Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2021.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1699440883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-221-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "CHRISTINA",
        "middle_name": "SHARRIE",
        "name_prefix": "Mrs.",
        "credential": "TLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12197-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "WEST",
            "middle_name": "S",
            "prefix": "MISS",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winfield, KS

All providers in Winfield, KS · Social Worker in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.