Jessica Sampson, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4426 Issued in KS

Practice address

212 South 4TH Street
Suite 120
Manhattan, KS 66502

Phone

(785) 323-0644

Fax

(785) 323-0643

NPI assigned

Mar 7, 2014

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 names 1

• Jessica Palen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1831515436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SOUTH 4TH STREET",
            "address_2": "SUITE 120",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66502",
            "telephone_number": "785-323-0644",
            "fax_number": "785-323-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTH 4TH STREET",
            "address_2": "SUITE 120",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "66502",
            "telephone_number": "785-323-0644",
            "fax_number": "785-323-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JESSICA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PALEN",
            "credential": "LSCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan D Sage, LMSW
• Sager Dental Associates P.a.
• Salceda Counseling, LLC
• Daniel Salceda, LPC
• Karla Salto
• Teresa Gehrt Sanborn, RD, LD
• Brandon Patrick Sand
• Autumn Jordan Sander, DPT
• Wyatt Robert Sander, PT, DPT
• Emma Nicole Sanders

• Clinical Social Worker in Manhattan, KS
• Providers in Manhattan, 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 Jun 17, 2022; 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.