Kasey Shepherd

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5390 Issued in KS

Practice address

200 N Broadway Ave Ste 500
Wichita, KS 67202-2322

Phone

(316) 284-6400

Fax

(316) 284-6491

NPI assigned

Nov 18, 2005

Last updated

Jun 24, 2024By the provider in NPPES

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 names 1

• Kasey Shepherd Lscsw LLC Professional name

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kasey Shepherd Lscsw LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1063039139
  Medicare reassignment NPD

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1902888423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BROADWAY AVE STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022322",
            "telephone_number": "316-516-2758",
            "fax_number": "316-425-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BROADWAY AVE STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022322",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KASEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-06-24",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY SHEPHERD",
            "last_name": "LSCSW LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gayle Lynn Shelton, LMSW
• Heather Ann Shelton, LCPC
• Patricia Shelton, CPTA
• Charles Tyler Shepherd, D.C.
• Jeffrey Shepherd, MD
• Lauren Lea Shepherd, APRN
• Kelly J Sherman, CPTA
• John E Shero, CPED
• Diana L Sherrard, PT
• Alexis Sherwood, LMFT

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, 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 24, 2024; 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.