Shea Witherspoon, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Wichita, Kansas. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
10209 W Central Ave, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 204-0369.
Shea Witherspoon is licensed to practice in Kansas (license number 0700) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114651361.
Healthcare Provider's Profile
| Full Name | Shea Witherspoon |
|---|
| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 10209 W Central Ave, Wichita, Kansas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shea Witherspoon graduated from medical school in 2022
NPI Data:
- NPI Number: 1114651361
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 03/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789177973
- Enrollment ID: I20251205001416
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 |
| 1041C0700X | Social Worker - Clinical | 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
enrolled with medicare and thus, if eligible, can 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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