Sharie R Quattlebaum, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4025 Issued in KS

Practice address

9333 E 21St St N
Wichita, KS 67206-2927

Phone

(316) 634-4703

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Medicine Specialists, PAGroup PAC ID 1355240102, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Behavioral Medicine Specialists, PA

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1881706398
  Medicare reassignment Care Compare group NPD
• Prairie View, Inc.

  • Psychiatric Hospital
  • Wichita, KS
  • NPI 1902251655
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1760689749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927",
            "telephone_number": "316-634-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTLEBAUM",
        "first_name": "SHARIE",
        "middle_name": "R",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200435310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jane Quadlander, D.C.
• Syeda Quadri, MD
• Emmilee Qualls
• Peyton Quandt
• Sacia Quattlebaum, MA, LMAC-T
• Quest Diagnostics
• Quest Diagnostics Clinical Laboratories Inc.
• Michael Quick
• Tim Quiggle, LMFT
• Timothy F Quigley, PA

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.

Verify at the official NPI Registry.