Individual provider Active NPI

Elizabeth M Vondemkamp, LSCSW

  • Clinical Social Worker
  • Shawnee, KS
National Provider Identifier
1720160930
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2425 Issued in KS
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

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070302000482 KS Practitioner - Clinical Social Worker 7911989892 Reassigns benefits to 1 organization
I20250701000917 IN Practitioner - Clinical Social Worker 7911989892 Reassigns benefits to 1 organization
I20250703004063 MA Practitioner - Clinical Social Worker 7911989892 Reassigns benefits to 1 organization
I20251226002137 CA Practitioner - Clinical Social Worker 7911989892 Reassigns benefits to 2 organizations

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
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

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

LicenseStateTypeSpecialty
133898CAMDClinical Social Worker
34010297AINMDClinical Social Worker
LICSW126376MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Aug 6, 2024 Accepting new patients
Talkspace Provider Network Ca PC CurrentSince Sep 15, 2025 Accepting new patients
Catholic Community Hospice of Northeast Kansas, Inc. Past Accepting new patients
Kevin H. Connaghan PA Clinical PastSince Jun 1, 2001 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.

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

Verify at the official NPI Registry.