MARY B. SHERIDAN (NPI# 1063878338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063878338 |
| Entity Type | Individual |
| Full Name | MARY B. SHERIDAN |
| Credential | LSCSW |
| Practice Address |
12760 W 87th Street Pkwy Suite 108 Lenexa KS 66215-4635 |
| Mailing Address |
Po Box 860700 Shawnee KS 66286-0700 |
| Practice Telephone | 9134411200 |
| Mailing Telephone | 9134411200 |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2016-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4309 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508247891 | Mary Elizabeth Sheridan | Counselor | 821 E Railroad Ave, Fort Morgan, CO 80701-3365 | 2015-06-12 |
| 1275878548 | Mary Rachel Sheridan | Registered Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-11-28 |
| 1700091717 | Mary Sheridan | Optometrist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2007-05-12 |
| 1922124171 | Mary E Sheridan | Advanced Practice Midwife | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-03-21 |
| 1790741775 | Mary Sheridan | Nurse Practitioner | 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 | 2006-04-26 |
| 1336109040 | Mary E Sheridan | Physician Assistant | 400 E 5th Ave, Spokane, WA 99202-1334 | 2006-03-25 |
| Street Address |
12760 W 87TH STREET PKWY SUITE 108 |
| City | LENEXA |
| State | KS |
| Zip Code | 66215-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144580390 | Tatyana Fastovskaya | Case Manager/Care Coordinator | 12760 W 87th Street Pkwy, Lenexa, KS 66215-4635 | 2012-05-22 |
| 1134734742 | Juliana Ostrowski | Behavior Technician | 12760 W 87th Street Pkwy, Lenexa, KS 66215-4635 | 2020-09-10 |
| 1780293761 | Krista L Ward | Behavior Technician | 12760 W 87th Street Pkwy, Lenexa, KS 66215-4635 | 2020-07-27 |
| 1962918557 | Grace Johnson | Behavior Technician | 12760 W 87th Street Pkwy, Lenexa, KS 66215-4635 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031579 | Bridgette Herrin Mavec | Social Worker | 7830 Caenen St, Lenexa, KS 66216-3326 | 2020-10-19 |
| 1902376205 | Daniel Wickham | Social Worker | 16979 W 94th St, Lenexa, KS 66219 | 2018-11-29 |
| 1952871352 | Bariatric Eating Disorders Solutions, LLC | Social Worker | 23351 Prairie Star Parkway, Suite A275, Lenexa, KS 66227 | 2018-11-28 |
| 1982947339 | Britt Frank | Social Worker | 13226 W 108th Ter, Lenexa, KS 66210-3742 | 2013-04-04 |
| 1528353240 | Lauren Elizabeth Wood | Social Worker | 12351 W 96th Ter Ste 105, Lenexa, KS 66215 | 2011-06-10 |
| 1770761520 | Darla Davis Maynard | Social Worker | 10900 W 86th St Ste 150, Lenexa, KS 66214-3608 | 2008-02-04 |
| 1871783340 | Jennifer Noel Heinbach | Social Worker | 12408 W 101st St, Lenexa, KS 66215-1912 | 2007-07-31 |
| 1851450647 | Rebecca Anne Franklin | Social Worker | 11261 Strang Line Rd, Lenexa, KS 66215-4040 | 2006-12-07 |
| 1689602559 | Michael Crowley | Social Worker | 8929 Bluejacket St, Suite 100, Lenexa, KS 66214-1991 | 2006-06-29 |
| 1992749261 | Shelley D. Mayse | Social Worker | 7515 Allman Rd, Lenexa, KS 66217 | 2006-06-16 |
| Find all providers in LENEXA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.