Active NPI
Desirae Corey, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1083440929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13893
- Practice address
- 555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673 - Phone
- (316) 685-1821
- Fax
- (316) 685-0768
- NPI assigned
- Sep 9, 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 | 13893 | KS | Primary |
Addresses
Primary practice location
555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Mailing address
555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Phone (316) 685-1821
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 |
|---|---|---|---|
| 13893 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1083440929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N WOODLAWN ST STE 3105",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083673",
"telephone_number": "316-685-1821",
"fax_number": "316-685-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N WOODLAWN ST STE 3105",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083673",
"telephone_number": "316-685-1821",
"fax_number": "316-685-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "DESIRAE",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.