CRISTIN L STICE (LSCSW) – Clinical Social Worker, NPI 1154977734

CRISTIN L STICE (LSCSW) is a healthcare provider. based in Bonner springs, Kansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSCSW. They hold a License No. 4255 (KS). The NPI Number for CRISTIN L STICE (LSCSW) is 1154977734

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
CRISTIN L STICE (LSCSW)
NPI
1154977734
Phone
(913) 205-2486
Address
13829 GROVE AVE
Enumeration Date
10 August 2019
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9132052486
Graduation Year
2009 (17 years ago)
PAC ID
9335470004
Group Practice PAC ID
3577976356
Professional Enrollment ID
I20191010000742
Address ID
KS660129685BO13829AVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

832 CLINICAL SOCIAL WORKER in KS

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Provider Addresses for CRISTIN L STICE (LSCSW)

  • 13829, Grove Avenue, Grandview, Bonner Springs, Wyandotte County, Kansas, 66012, United States

    BONNER SPRINGS, KS 660129685

    Phone: (913) 205-2486

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191010000742IClinical Social WorkerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour67934$0
View full utilization report →

Insurance plans in this area (ZIP 66012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577976356View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

What unique ID ties claims to CRISTIN L STICE (LSCSW)?
NPI 1154977734 is assigned to CRISTIN L STICE (LSCSW) under the national enumeration system.
Does this profile mean CRISTIN L STICE (LSCSW) is currently active?
Yes — CRISTIN L STICE (LSCSW) appears active in the national provider directory.
What field does CRISTIN L STICE (LSCSW) work in?
You can think of CRISTIN L STICE (LSCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place CRISTIN L STICE (LSCSW)?
The snapshot lists Bonner Springs, Kansas for CRISTIN L STICE (LSCSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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