Laura Christine Hattrup, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4251 Issued in KS

Practice address

5515 Foxridge Dr Ste 5
Mission, KS 66202-1509

Phone

(785) 249-5160

NPI assigned

May 14, 2019

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

Other identifiers 2

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1841856945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 FOXRIDGE DR APT 201",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662024515",
            "telephone_number": "785-249-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 FOXRIDGE DR STE 5",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021509",
            "telephone_number": "785-249-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTRUP",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490075139",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201239060",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Mission, KS
• Providers in Mission, 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 15, 2020; 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.