Individual provider Active NPI

Theresa A Flaigle, LMSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1144553439
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7543 Issued in KS
Practice address
123 N Tyler Rd
Wichita, KS 67212-3725
Phone
(316) 869-2220
Fax
(316) 869-2221
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7543 KS Primary

Addresses

Primary practice location

123 N Tyler Rd
Wichita, KS 67212-3725

Mailing address

123 N Tyler Rd
Wichita, KS 67212-3725
Phone (316) 869-2220

Other names 1

  • Theresa A Badway Former name

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
7543KSMDSocial Worker
4417KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa a. Flaigle PastSince Nov 4, 2010 Accepting new patients
Angie Lynn, Lscsw, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1144553439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123725",
            "telephone_number": "316-869-2220",
            "fax_number": "316-869-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123725",
            "telephone_number": "316-869-2220",
            "fax_number": "316-869-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAIGLE",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "BADWAY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 16, 2014; 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.