Individual provider · Type 1 NPI

Shea Witherspoon, LSCSW

Clinical Social Worker · Wichita, KS

NPI number 1114651361 Active

Practice location

10209 W Central Ave
Wichita, KS 67212-4684

Mailing address

2140 E Charleston Dr
Park City, KS 67219-1702

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00935 (KS)
Clinical Social Worker Primary 1041C0700X0700 (KS)

Clinical Social Worker: 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 interpers…

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About NPI 1114651361

Shea Witherspoon, LSCSW's National Provider Identifier is 1114651361, issued on Jul 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Mar 12, 2026.