Active NPI
Sarah A Haldeman-Smith, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1962601013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200437660B | Medicaid | KS | |
| 30004522510002 | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6337 | KS | MD | Social Worker |
| 05622 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Haldeman Smith, LMSW, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1982325544
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.