Individual provider Active NPI

Sandra Lybrand

  • Clinical Social Worker
  • Leawood, KS
National Provider Identifier
1861060477
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05312 Issued in KS
Practice address
4701 College Blvd Ste 115
Leawood, KS 66211-1608
Phone
(913) 777-4020
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 05312 KS Primary

Addresses

Primary practice location

4701 College Blvd Ste 115
Leawood, KS 66211-1608

Mailing address

4701 College Blvd Ste 115
Leawood, KS 66211-1608
Phone (913) 777-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05312KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Psychological CurrentSince May 21, 2023 Accepting new patients

Locations

4701 College Blvd
Ste 115
Leawood, KS 66211
Phone (913) 777-4020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1861060477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 COLLEGE BLVD STE 115",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111608",
            "telephone_number": "913-777-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 COLLEGE BLVD STE 115",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111608",
            "telephone_number": "913-777-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBRAND",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.