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
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

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

Addresses

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

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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.