Active NPI
Tammy R Goertz, LMSW, LAC
- Social Worker
- Hutchinson, KS
National Provider Identifier
1124858584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13710
- Practice address
- 1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600 - Phone
- (620) 663-7595
- NPI assigned
- Aug 1, 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 | 13710 | KS | Primary |
Addresses
Primary practice location
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Mailing address
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595
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 |
|---|---|---|---|
| 13710 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1124858584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N LORRAINE ST STE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015600",
"telephone_number": "620-663-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N LORRAINE ST STE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015600",
"telephone_number": "620-663-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERTZ",
"first_name": "TAMMY",
"middle_name": "R",
"credential": "LMSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.