Individual provider Active NPI

Stephanie J Salisbury, LSCSW

  • Clinical Social Worker
  • Coldwater, KS
National Provider Identifier
1740588953
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4574 Issued in KS
Practice address
400 E Walnut St Ste 6
Coldwater, KS 67029-6495
Phone
(785) 580-8698
Fax
(785) 706-5575
NPI assigned
Mar 11, 2011
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00805 KS
Social Worker 104100000X T-LMSW 7998 KS
Clinical Social Worker 1041C0700X 4574 KS Primary

Addresses

Primary practice location

400 E Walnut St Ste 6
Coldwater, KS 67029-6495

Mailing address

PO Box 562
Coldwater, KS 67029-0562
Phone (785) 580-8698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001930 KS Practitioner - Clinical Social Worker 7315295508 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Mental Health Center, Inc.Group PAC ID 2163418120, 44 clinicians

Practice addresses (Care Compare)

602 E 2ND St
Pratt, KS 67124-2912
Phone (620) 672-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00805KSMDAddiction (Substance Use Disorder) Counselor
T-LMSW 7998KSMDSocial Worker
4574KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland District Hospital CurrentSince Jul 1, 2024 Accepting new patients
Ashland District Hospital CurrentSince Jul 1, 2024 Accepting new patients
Grit and Grace Counsel and Consult Clinical CurrentSince Jun 12, 2022 Accepting new patients
Horizons Mental Health Center, Inc. Social Worker CurrentSince Jan 3, 2023 Accepting new patients
Iroquois Center for Human Development, Inc. CurrentSince Jun 27, 2018 Accepting new patients
Iroquois Center for Human Development, Inc. CurrentSince Jun 27, 2018 Accepting new patients

Locations

625 Kentucky St
Ashland, KS 67831
Phone (620) 635-2222

625 Kentucky St
#188
Ashland, KS 67831
Phone (620) 635-2241

610 E Grant Ave
Greensburg, KS 67054
Phone (620) 723-2272

1600 N Lorraine St
Ste 202
Hutchinson, KS 67501
Phone (620) 663-7595

602 E 2nd St
Pratt, KS 67124
Phone (620) 663-7595

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1740588953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670290562",
            "telephone_number": "785-580-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E WALNUT ST STE 6",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670296495",
            "telephone_number": "785-580-8698",
            "fax_number": "785-706-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "00805",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "T-LMSW 7998",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, KS

Sources for this page

Verify at the official NPI Registry.