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SHEA WITHERSPOON LSCSW
NPI 1114651361
Social Worker - Clinical in Wichita, KS

Active since July 13, 2022PECOS Enrolled
10209 W CENTRAL AVE, WICHITA, KS 67212(316) 204-0369 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, Jul 13, 2022 (2 updates tracked since 2022).

About Shea Witherspoon Lscsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEA WITHERSPOON LSCSW (NPI 1114651361) is an individual clinical provider in Wichita, Kansas, licensed in Kansas (0700) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114651361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHEA WITHERSPOONCredential: LSCSW
Location Address10209 W CENTRAL AVEWichita, KS 67212-4684
Mailing Address2140 E Charleston DrPark City, KS 67219-1702 · (316) 204-0369
Phone(316) 204-0369
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 13, 2022
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1114651361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KS · 0700
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00935 (KS)
10209 W CENTRAL AVE, Wichita, KS 67212
Open in Google Maps ↗

Other Identifiers 1

Other00935KS · Lcac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shea Witherspoon Lscsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789177973
PECOS Enrollment IDI20251205001416
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shea Witherspoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willow Tree LLC
2.6 mi
Marriage & Family Therapist
7348 W 21ST ST N, SUITE 107
Wichita, KS 67205
  • Reassigned Medicare billing, Kansas enrollment
  • 12 clinicians in this Medicare group
NPI 1306233077 (316) 779-2560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $161.67
Typical copayment $0.00 (range $13.25 – $40.41)
Most-billed visit code NA
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAUREN E GILLEY LPC
Counselor (Professional)
10209 W CENTRAL AVE
WICHITA, KS 67212
Sedgwick County (316) 519-7325
KYNDALL ASPEN MILLER LPC
Counselor (Professional)
10209 W CENTRAL AVE
WICHITA, KS 67212
Sedgwick County (316) 290-9895
DAKOTA LEE DRISKILL LPC
Counselor (Professional)
10209 W CENTRAL AVE
WICHITA, KS 67212
Sedgwick County (316) 766-6341
MS. JOANN BRILES-KLEIN MSW
Social Worker (Clinical)
10209 W CENTRAL AVE, SUITE 303
WICHITA, KS 67212
Sedgwick County (316) 721-2349

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shea Witherspoon's NPI number?

The NPI number for Shea Witherspoon is 1114651361. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Shea Witherspoon located?

Shea Witherspoon practices at 10209 W Central Ave, Wichita, KS 67212. The listed phone number is (316) 204-0369.

What is Shea Witherspoon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shea Witherspoon enrolled in Medicare?

Yes. Shea Witherspoon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shea Witherspoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shea Witherspoon reassigns Medicare benefits to Willow Tree LLC (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shea Witherspoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shea Witherspoon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Shea Witherspoon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shea Witherspoon was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.