Individual provider Active NPI

Cynthia M Fecchia, SW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1083854178
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5224 Issued in KS
Practice address
4105 W 6TH St
Lawrence, KS 66049-4609
Phone
(785) 727-0977
Fax
(855) 609-1049
NPI assigned
Mar 2, 2009
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 5224 KS Primary

Addresses

Primary practice location

4105 W 6TH St
Lawrence, KS 66049-4609

Mailing address

830 SW Clay St
Topeka, KS 66606-1436
Phone (785) 845-7349

Other practice location 1

830 SW Clay St
Topeka, KS 66606-1436
Phone (785) 845-7349

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
I20240610001877 KS Practitioner - Clinical Social Worker 7810439593 Practice locations: Lawrence, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4105 W 6TH St
Suite B12
Lawrence, KS 66049-4941
Phone (785) 727-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5224KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1083854178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SW CLAY ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061436",
            "telephone_number": "785-845-7349",
            "fax_number": "855-609-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494609",
            "telephone_number": "785-727-0977",
            "fax_number": "855-609-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 SW Clay St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061436",
            "country_code": "US",
            "telephone_number": "785-845-7349",
            "fax_number": "855-609-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FECCHIA",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.