Samantha Valene Runnion, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4078 Issued in KS

Practice address

7570 W 21St St N Ste a
Wichita, KS 67205-1734

Phone

(316) 777-6718

Fax

(316) 462-0629

NPI assigned

Jun 28, 2007

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

Electronic endpoints 1

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Samantha Runnion, Lscsw, LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1689027070
  Medicare reassignment NPD Authorized official
• Kimberly D Childers Lscsw LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1033908488
  NPD

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1912104597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "BUILDING 1046, SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-777-6718",
            "fax_number": "316-462-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-777-6718",
            "fax_number": "316-462-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNION",
        "first_name": "SAMANTHA",
        "middle_name": "VALENE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha@affnitymentalwellness.com",
            "affiliation": "N",
            "address_1": "7570 W 21st St N Ste A",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672051734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisha Ann Ruiz, CRNA
• Miranda Ruland, PA-C
• Krista L Rumback, LCP, LMLP
• Steven Christopher Rundel, D.P.T
• Leah Suzanne Rundle, MED, LCPC
• Runway Emergency Physicians LLC
• Amanda Marie Runyan, PHD
• Cheryl Runyan, LSCSW
• Daniel Runyan, RPT
• Emily J Runyan, LMLP

• 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 Jan 1, 2022; 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.