Active NPI
Kaci Wilson
- Social Worker
- Lawrence, KS
National Provider Identifier
1013775717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8629
- Practice address
- 3300 Mesa Way Ste B
Lawrence, KS 66049-2345 - Phone
- (785) 392-6571
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8629 | KS | Primary |
Addresses
Primary practice location
3300 Mesa Way Ste B
Lawrence, KS 66049-2345
Mailing address
3816 Elizabeth CT
Lawrence, KS 66049-4156
Phone (620) 353-4227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8629 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1013775717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 ELIZABETH CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494156",
"telephone_number": "620-353-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MESA WAY STE B",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660492345",
"telephone_number": "785-392-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KACI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.