Shea Witherspoon, LSCSW
Shea Witherspoon, LSCSW is a Clinical Social Worker in Wichita, Kansas. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Kansas.
- Years since qualifying
- 4
- Licensed in
- KS
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10209 W Central AveWichita, KS 67212-4684
Phone: (316) 204-0369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 0700 (KS) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 00935 (KS) |
Record details
| NPI number | 1114651361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LSCSW |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | March 12, 2026 |
| Certification date | March 12, 2026 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
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