Active NPI
Elizabeth M Vondemkamp, LSCSW
- Clinical Social Worker
- Shawnee, KS
National Provider Identifier
1720160930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2425
- Practice address
- 23703 W 52ND Ter
Shawnee, KS 66226-7804 - Phone
- (913) 485-0416
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2425 | KS | Primary |
| Clinical Social Worker | 1041C0700X | 34010297A | IN | |
| Clinical Social Worker | 1041C0700X | 133898 | CA | |
| Clinical Social Worker | 1041C0700X | LICSW126376 | MA |
Addresses
Primary practice location
23703 W 52ND Ter
Shawnee, KS 66226-7804
Mailing address
23703 W 52ND Ter
Shawnee, KS 66226-7804
Phone (913) 485-0416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, IN, MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
23703 W 52ND Ter
Shawnee, KS 66226-7804
Phone (913) 485-0416
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133898 | CA | MD | Clinical Social Worker |
| 34010297A | IN | MD | Clinical Social Worker |
| LICSW126376 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Provider Network PA | Current | Accepting new patients | |
| Talkspace Provider Network Ca PC | Current | Accepting new patients | |
| Catholic Community Hospice of Northeast Kansas, Inc. | Past | Accepting new patients | |
| Kevin H. Connaghan PA | Clinical | Past | Accepting new patients |
| Teresa Varanka MD LLC | Past | Accepting new patients |
Locations
2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
IN, KS, MA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1003506866
CA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
-
- Clinical Social Worker
- Leawood, KS
- NPI 1750579496
-
- Prescribing (Medical) Psychologist
- Leawood, KS
- NPI 1457589319
-
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1275542862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1720160930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23703 W 52ND TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662267804",
"telephone_number": "913-485-0416",
"fax_number": "913-485-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23703 W 52ND TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662267804",
"telephone_number": "913-485-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONDEMKAMP",
"first_name": "ELIZABETH",
"middle_name": "M",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2425",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34010297A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "133898",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126376",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.