Individual provider Active NPI

Mary Barbara Chapman, LSCSW, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1780126128
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4601 Issued in KS
Practice address
7570 W 21St St N Ste 1046a
Wichita, KS 67205-1771
Phone
(405) 402-9724
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7570 W 21St St N
Suite 1046a
Wichita, KS 67205-1771
Phone (316) 749-8179

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
I20161229000137 KS Practitioner - Clinical Social Worker 9739460064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4601KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Chapman, Lscsw LLC Clinical CurrentSince Jun 5, 2018 Accepting new patients

Locations

3500 N Rock Rd
Bldg 100
Wichita, KS 67226
Phone (316) 239-2210

7570 W 21st St N
Ste 1046A
Wichita, KS 67205
Phone (316) 776-4766

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4601 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

7570 W 21St St N Ste 1046a
Wichita, KS 67205-1771

Mailing address

7570 W 21St St N Ste 1046a
Wichita, KS 67205-1771
Phone (316) 749-8179

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
201148220BMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2023.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1780126128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1046A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051771",
            "telephone_number": "316-749-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1046A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051771",
            "telephone_number": "405-402-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MARY",
        "middle_name": "BARBARA",
        "credential": "LSCSW, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201148220B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.