Individual provider Active NPI

Lisa Marie Harrison, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1972064418
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05507 Issued in KS
Practice address
2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone
(316) 250-5007
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 4810 KS
Clinical Social Worker 1041C0700X 05507 KS Primary

Addresses

Primary practice location

2922 N Spring Meadow CT
Wichita, KS 67205-1659

Mailing address

2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone (316) 250-5007

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
I20220202002447 KS Practitioner - Clinical Social Worker 9032502612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians
Midwest Counseling Services, LLCGroup PAC ID 8123411709, 9 clinicians

Practice addresses (Care Compare)

2031 W 6TH Ave
Emporia, KS 66801-6464
Phone (620) 800-1010

2922 N Spring Meadow CT
Wichita, KS 67205-1659
Phone (316) 250-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4810KSMDSocial Worker
05507KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Counseling Services, LLC Clinical CurrentSince Nov 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1972064418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 N SPRING MEADOW CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051659",
            "telephone_number": "316-250-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 N SPRING MEADOW CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051659",
            "telephone_number": "316-250-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.