Sophie Rose Peterson Enslinger

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LMSW13307 Issued in KS

Practice address

340 W Mockingbird St
Gardner, KS 66030-1762

Phone

(913) 963-6398

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1821820135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W MOCKINGBIRD ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301762",
            "telephone_number": "913-963-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W MOCKINGBIRD ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301762",
            "telephone_number": "913-963-6398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lakemary Dr",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660711855",
            "country_code": "US",
            "telephone_number": "913-557-4000 x1056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON ENSLINGER",
        "first_name": "SOPHIE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LMSW13307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Pastore
• Mehulbhai J Patel
• Paul D. Mabe, DDS, Chartered
• Danielle M Penington, PA-C
• Karley Lynn Perry, PT, DPT
• Danielle Pfeifer
• Brianne Phillips, LSCSW, LCSW, RPT-S
• Mary Josesphine Pillow, OTR/L
• Pinnacle Health Facilities Xviii LP
• Pinnacle Health Facilities Xviii LP

• Clinical Social Worker in Gardner, KS
• Providers in Gardner, 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 Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.