Madeline Grace Birdashaw, LMSW
Individual provider Active NPI Social Worker · Lawrence, KS
NPI 1942933544 · NPPES record last updated Jul 1, 2022
Key facts
- NPI
- 1942933544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 12585 (KS)
- Practice address
- 2500 W 31St St Ste G
Lawrence, KS 66047-3051 - Phone
- (785) 856-0322
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12585 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Clinical Services, LLC | Social Worker | Current |
Accepting new patients |
Locations
2500 W 31st St
Ste G
Lawrence, KS 66047
Phone (785) 856-0322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12585 | KS | Yes |
Addresses
Primary practice location
2500 W 31St St Ste G
Lawrence, KS 66047-3051
Mailing address
2500 W 31St St Ste G
Lawrence, KS 66047-3051
Phone (785) 856-0322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740842277 | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.kansasics.com/ |
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.