Mary Friesen, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4617 Issued in KS

Practice address

7450 Kessler Street
Suite 300
Shawnee Mission, KS 66204

Phone

(913) 632-2920

Fax

(913) 632-2999

NPI assigned

Nov 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Responsive Management Clinic IncGroup PAC ID 9638082605, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Responsive Management Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1164512562

  KS

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1831528249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER STREET",
            "address_2": "SUITE 300",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-632-2920",
            "fax_number": "913-632-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER STREET",
            "address_2": "SUITE 300",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-632-2920",
            "fax_number": "913-632-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Kessler Street",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "66204",
            "country_code": "US",
            "telephone_number": "913-632-2920",
            "fax_number": "913-632-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "MARY",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW 8999",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S. Finkelston, D.O.
• Jennifer Fitzgerald, D.O.
• Summer Brianne Flandermeyer, FNP-BC
• Stacy A. Forrestt, PAC
• Christopher Fotopoulos, D.O.
• Daphne L. Fry, ARNP
• Thomas Wayne Fulbright, MD
• Sean E Fulton
• Michael J Gaughan, MD
• Rebecca L. Gernon, MD

• All providers in Shawnee Mission, KS
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.