Marcella J Kille Lscsw PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3862 Issued in KS

Legal business name

MARCELLA J KILLE LSCSW PA

Practice address

101 E 1St Ave
Hutchinson, KS 67501-7147

Phone

(620) 921-1029

Fax

(620) 662-5621

NPI assigned

Jan 26, 2009

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcella J Kille, LSCSWNPI 1831296581

Title

Director

Phone

(620) 921-1029

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcella J. Kille, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1831296581
  Authorized official Same address or phone

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1083852362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017147",
            "telephone_number": "620-921-1029",
            "fax_number": "620-662-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017147",
            "telephone_number": "620-921-1029",
            "fax_number": "620-662-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLA J KILLE LSCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "KILLE",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-921-1029",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200451960C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Mangimelli, AUD
• Cristine Mann
• Brooke Leesa Mannebach, COTA
• Mindy Lee Ann Manning, APRN
• Elizabeth Ann Mansel, LCP
• Mark D. Goodman
• Deanna Marshall, MD
• Stephen Marshall, MD
• Heather Martens, PT
• Kevin R Martin Nisly, LMSW

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.