Marilyn Shaw, LMSW-T

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12966-T Issued in KS

Practice address

3450 N Rock Rd Ste 405
Wichita, KS 67226-1354

Phone

(316) 779-8185

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Restoration Family Services, KS, LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1982545273
  NPD Authorized official
• Restoration Family Services

  • Foster Care Agency
  • Wichita, KS
  • NPI 1992287064

  Social Worker

  NPD

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1922714971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N ROCK RD STE 405",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261354",
            "telephone_number": "316-779-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N ROCK RD STE 405",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261354",
            "telephone_number": "316-779-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E English St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672024320",
            "country_code": "US",
            "telephone_number": "316-609-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARILYN",
        "credential": "LMSW-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12966-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12966-T",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12966-T",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KMAP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "KMAP",
            "address_1": "3450 N Rock Rd Ste 405",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672261354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KMAP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "KMAP",
            "address_1": "333 E English St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672024320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James M Shaw, M.D.
• Jessica Lorin Jewell Shaw, MD
• Jordan Shaw, APRN
• Kaitlyn Cheyenne Shaw, NP
• Kayla Shaw
• Michael N Shaw, PA
• Quentin Shaw, OD
• Sarah Marie Shaw
• Wanda Shaw
• Phillip P Shay, RN

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.