Active NPI
Jordan Stirewalt, LMSW
- Social Worker
- Humboldt, KS
National Provider Identifier
1083493589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13375
- Practice address
- 1106 S 9TH St
Humboldt, KS 66748-1934 - Phone
- (620) 743-2241
- Fax
- (620) 365-3334
- NPI assigned
- Sep 25, 2023
- 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 | 13375 | KS | Primary |
Addresses
Primary practice location
1106 S 9TH St
Humboldt, KS 66748-1934
Mailing address
1106 S 9TH St
Humboldt, KS 66748-1934
Phone (620) 743-2241
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 |
|---|---|---|---|
| 13375 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1083493589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 S 9TH ST",
"city": "HUMBOLDT",
"state": "KS",
"postal_code": "667481934",
"telephone_number": "620-743-2241",
"fax_number": "620-365-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 S 9TH ST",
"city": "HUMBOLDT",
"state": "KS",
"postal_code": "667481934",
"telephone_number": "620-743-2241",
"fax_number": "620-365-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIREWALT",
"first_name": "JORDAN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, KS
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Southeast Kansas Mental Health Center
- Ashlyn Michele Stipp, COTA/L
- Strive Physical Therapy LLC
- The Family Physicians PA
- Unified School District #258
- Heather Lynnette Webber, APRN- C
- Weilert Chiropractic Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.