Individual provider Active NPI

Cindy K Hearson, LMSW-T

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1124627195
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12017 Issued in KS
Practice address
7920 W 21St St N Ste 200
Wichita, KS 67205-1787
Phone
(316) 461-0643
NPI assigned
Oct 21, 2020
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 12017 KS Primary

Addresses

Primary practice location

7920 W 21St St N Ste 200
Wichita, KS 67205-1787

Mailing address

121 S Whittier Rd Ste 150
Wichita, KS 67207-1064
Phone (316) 461-0643

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

LicenseStateTypeSpecialty
12017KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1124627195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WHITTIER RD STE 150",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071064",
            "telephone_number": "316-461-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 W 21ST ST N STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051787",
            "telephone_number": "316-461-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARSON",
        "first_name": "CINDY",
        "middle_name": "K",
        "credential": "LMSW-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12017",
            "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 Jul 24, 2026; 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.