Healthcare Provider Details

I. General information

NPI: 1164151536
Provider Name (Legal Business Name): APRIL MARIE SHAW-DIMITRI LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SW 29TH ST STE 100
TOPEKA KS
66611-1734
US

IV. Provider business mailing address

2300 SW 29TH ST STE 100
TOPEKA KS
66611-1734
US

V. Phone/Fax

Practice location:
  • Phone: 785-588-2130
  • Fax:
Mailing address:
  • Phone: 785-588-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07181
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: