Individual provider Active NPI

Connie Sanchez, LMSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1760803589
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4743 Issued in KS
Practice address
5847 SW 29TH St
Topeka, KS 66614
Phone
(785) 273-7292
Fax
(785) 273-1201
NPI assigned
Dec 20, 2013
Last updated
Nov 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6082 KS
Clinical Social Worker 1041C0700X 4743 KS Primary

Addresses

Primary practice location

5847 SW 29TH St
Topeka, KS 66614

Mailing address

5847 SW 29TH St
Topeka, KS 66614-2462
Phone (785) 273-7292

Other practice location 1

2950 SW Woodside Dr
Topeka, KS 66614-5326
Phone (785) 272-5134

Other practice location 2

2950 SW Woodside Dr
Topeka, KS 66614-5326
Phone (785) 272-5134

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
I20180523002514 KS Practitioner - Clinical Social Worker 6002171972 Reassigns benefits to 1 organization
Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5847 SW 29TH St
Topeka, KS 66614-2462
Phone (785) 224-9046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4743KSMDClinical Social Worker
6082KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince May 14, 2018 Accepting new patients

Locations

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

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, 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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1760803589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142462",
            "telephone_number": "785-273-7292",
            "fax_number": "785-273-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66614",
            "telephone_number": "785-273-7292",
            "fax_number": "785-273-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 SW Woodside Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145326",
            "country_code": "US",
            "telephone_number": "785-272-5134",
            "fax_number": "785-272-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 SW Woodside Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145326",
            "country_code": "US",
            "telephone_number": "785-272-5134",
            "fax_number": "785-272-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CONNIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "6082",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.