Individual provider Active NPI

Lura L Borsdorf, LSCSW

  • Clinical Social Worker
  • Andover, KS
National Provider Identifier
1144314352
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3581 Issued in KS
Practice address
403 W Central Ave Ste a
Andover, KS 67002-9614
Phone
(316) 200-6820
Fax
(888) 648-8640
NPI assigned
Oct 3, 2006
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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 3581 KS Primary

Addresses

Primary practice location

403 W Central Ave Ste a
Andover, KS 67002-9614

Mailing address

3001 Cornelison St
Wichita, KS 67203-2032
Phone (316) 200-6820

Other identifiers 1

IdentifierTypeStateIssuer
200423490EMedicaidKS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3581KSMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1144314352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CORNELISON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032032",
            "telephone_number": "316-200-6820",
            "fax_number": "888-648-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W CENTRAL AVE STE A",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029614",
            "telephone_number": "316-200-6820",
            "fax_number": "888-648-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSDORF",
        "first_name": "LURA",
        "middle_name": "L",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423490E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.