JENNIFER D FORMAN-WRIGHT, LSCSW, LLC
NPI 1144990771
Social Worker - Clinical in Overland Park, KS

Q: What is Jennifer D Forman-Wright, Lscsw, LLC's NPI number?

The NPI number for Jennifer D Forman-Wright, Lscsw, LLC is 1144990771. It was assigned to this organization in the NPPES registry on September 15, 2021.

Q: What is Jennifer D Forman-Wright, Lscsw, LLC's specialty?

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

Active since September 15, 2021

9200 INDIAN CREEK PKWY STE 660, OVERLAND PARK, KS 66210(913) 523-3365(816) 305-0104 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2021, Sep 15, 2021 (2 updates tracked since 2021).

On this page

About Jennifer D Forman-wright, Lscsw, Llc NPPES

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

JENNIFER D FORMAN-WRIGHT, LSCSW, LLC (NPI 1144990771) is a healthcare organization registered as a clinical in Overland Park, Kansas and active in the NPI registry since September 2021. The organization lists Jennifer Forman-wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1144990771

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameJENNIFER D FORMAN-WRIGHT, LSCSW, LLC

Location Address9200 INDIAN CREEK PKWY STE 660Overland Park, KS 66210-2097

Mailing Address9200 Indian Creek Pkwy Ste 660Overland Park, KS 66210-2097 · (913) 523-3365 · Fax (816) 305-0104

Phone(913) 523-3365

Fax(816) 305-0104

Organization SubpartNo

Authorized OfficialJennifer Forman-wrightOwner · (816) 213-0010

Enumeration DateSeptember 15, 2021

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1144990771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

9200 INDIAN CREEK PKWY STE 660, Overland Park, KS 66210

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer D Forman-wright, Lscsw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKansasEnrollment IDO20220119002725Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer D Forman-Wright, Lscsw, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Forman-Wright, MSW

Clinical Social Worker

NPI 1144310558

9200 INDIAN CREEK PKWY STE 660
Overland Park, KS 66210

(913) 523-3365

✔ PECOS✔ Accepts MedicareSame address

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

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 Jennifer D Forman-Wright, Lscsw, LLC's NPI number?

The NPI number for Jennifer D Forman-Wright, Lscsw, LLC is 1144990771. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Jennifer D Forman-Wright, Lscsw, LLC located?

Jennifer D Forman-Wright, Lscsw, LLC is located at 9200 Indian Creek Pkwy Ste 660, Overland Park, KS 66210. The listed phone number is (913) 523-3365.

What is Jennifer D Forman-Wright, Lscsw, LLC's specialty?

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

Is Jennifer D Forman-Wright, Lscsw, LLC enrolled in Medicare?

Yes. Jennifer D Forman-Wright, Lscsw, LLC is registered in the Medicare PECOS enrollment system.

When is Jennifer D Forman-Wright, Lscsw, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jennifer D Forman-Wright, Lscsw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jennifer D Forman-Wright, Lscsw, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jennifer D Forman-Wright, Lscsw, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer D Forman-Wright, Lscsw, LLC 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 Jennifer D Forman-Wright, Lscsw, LLC was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.