Shea Witherspoon, LSCSW is a
Social Worker based in Wichita, Kansas. Shea Witherspoon is licensed to practice in Kansas (license number 0700) and her current practice location is
10209 W Central Ave, Wichita, Kansas. She can be reached at her office (for appointments etc.) via phone at
(316) 204-0369.
NPI number for Shea Witherspoon is 1114651361 and her current mailing address is 2140 E Charleston Dr, Park City, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114651361.
Healthcare Provider's Profile
| Full Name | Shea Witherspoon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 10209 W Central Ave, Wichita, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114651361
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 02/19/2026
Medical Identifiers
Medical identifiers for Shea Witherspoon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114651361 | NPI | - | NPPES |
| 00935 | Other | KS | LCAC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00935 (Kansas) | Secondary |
| 104100000X | Social Worker | 0700 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shea Witherspoon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shea Witherspoon, LSCSW 2140 E Charleston Dr, Park City, KS 67219-1702 Ph: (316) 204-0369 | Shea Witherspoon, LSCSW 10209 W Central Ave, Wichita, KS 67212-4684 Ph: (316) 204-0369 |
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