Individual provider Active NPI

Vicki L Penner, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1013664457
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06576 Issued in KS
Practice address
1312 W 6TH St
Lawrence, KS 66044-2219
Phone
(785) 841-7297
Fax
(785) 856-0375
NPI assigned
Mar 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06576 KS Primary

Addresses

Primary practice location

1312 W 6TH St
Lawrence, KS 66044-2219

Mailing address

1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250419000060 KS Practitioner - Clinical Social Worker 9234654542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie View IncGroup PAC ID 5496652471, 27 clinicians

Practice addresses (Care Compare)

1901 E 1St St
Newton, KS 67114-5010
Phone (316) 284-6400

1901 E 1St St
PO Box 467
Newton, KS 67114-0467

PO Box
Suite 467
Newton, KS 67114-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9670KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie View, Inc. CurrentSince Jan 30, 2025 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Prairie View Inc Past Accepting new patients

Locations

508 S Ash St
Hillsboro, KS 67063
Phone (620) 947-2396

1102 Hospital Dr
McPherson, KS 67460
Phone (620) 245-5000

1901 E 1st St
Newton, KS 67114
Phone (316) 284-6400

7570 W 21st St N
Ste 1026D
Wichita, KS 67205
Phone (316) 729-6555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1013664457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-856-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.