Individual provider Active NPI

Lindsay Nicole Sanner, LSCSW

  • Clinical Social Worker
  • Andover, KS
National Provider Identifier
1962711242
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4562 Issued in KS
Practice address
149 S Andover Rd Ste 100
Andover, KS 67002-7935
Phone
(316) 247-3063
Fax
(316) 247-6833
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7777 KS
Clinical Social Worker 1041C0700X 4562 KS Primary

Addresses

Primary practice location

149 S Andover Rd Ste 100
Andover, KS 67002-7935

Mailing address

149 S Andover Rd Ste 100
Andover, KS 67002-7935
Phone (316) 247-3063

Other practice location 1

1400 Terradyne Dr Ste 309
Andover, KS 67002-9264
Phone (316) 247-3063

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160728001789 KS Practitioner - Clinical Social Worker 6901199900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7777KSMDSocial Worker
4562KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Family Counseling, LLC Clinical CurrentSince Apr 17, 2018 Accepting new patients

Locations

1400 Terradyne Dr
Ste 309
Andover, KS 67002
Phone (316) 247-3063

149 S Andover Rd
Ste 600
Andover, KS 67002
Phone (316) 247-3063

149 S Andover Rd
Ste 100
Andover, KS 67002
Phone (316) 247-3063

550 N 159th St E
Ste 101
Wichita, KS 67230
Phone (316) 247-3063

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1962711242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S ANDOVER RD STE 100",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027935",
            "telephone_number": "316-247-3063",
            "fax_number": "316-247-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S ANDOVER RD STE 100",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027935",
            "telephone_number": "316-247-3063",
            "fax_number": "316-247-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Terradyne Dr Ste 309",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670029264",
            "country_code": "US",
            "telephone_number": "316-247-3063",
            "fax_number": "316-247-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANNER",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7777",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.