Individual provider Active NPI

Sarah A Haldeman-Smith, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1962601013
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05622 Issued in KS
Practice address
2626 S Rock Rd Ste 110
Wichita, KS 67210-1857
Phone
(316) 215-9359
Fax
(855) 871-5714
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05622 KS Primary
Social Worker 104100000X 6337 KS

Addresses

Primary practice location

2626 S Rock Rd Ste 110
Wichita, KS 67210-1857

Mailing address

1528 W Haney South CT
Andover, KS 67002-7910
Phone (316) 215-9359

Other identifiers 2

IdentifierTypeStateIssuer
200437660BMedicaidKS
30004522510002MedicaidKS

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
6337KSMDSocial Worker
05622KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Haldeman Smith, LMSW, LLC Clinical CurrentSince Sep 20, 2022 Accepting new patients

Locations

2626 S Rock Rd
Ste 110
Wichita, KS 67210
Phone (316) 215-9359

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1962601013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 W HANEY SOUTH CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027910",
            "telephone_number": "316-215-9359",
            "fax_number": "855-871-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S ROCK RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101857",
            "telephone_number": "316-215-9359",
            "fax_number": "855-871-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN-SMITH",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05622",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437660B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004522510002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.