Active NPI
Desiree Hoetmer, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1164092342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06791
- Practice address
- 1646 E 2ND St N Ste 100
Wichita, KS 67214-4129 - Phone
- (316) 395-1030
- NPI assigned
- Jun 29, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06791 | KS | Primary |
Addresses
Primary practice location
1646 E 2ND St N Ste 100
Wichita, KS 67214-4129
Mailing address
1646 E 2ND St N Ste 100
Wichita, KS 67214-4129
Phone (316) 202-8524
Other names 1
- Desiree Hoetmer
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 |
|---|---|---|---|
| 06791 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Bliss Therapy | Clinical | Current | Accepting new patients |
| Desiree Hoetmer Lscsw, LLC | Clinical | Current | Accepting new patients |
| Willow Tree LLC | Past | Accepting new patients |
Locations
1646 E 2nd St N
Ste 100
Wichita, KS 67214
Phone (316) 202-8524
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Wichita, KS
- NPI 1306233077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1164092342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 E 2ND ST N STE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144129",
"telephone_number": "316-202-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 E 2ND ST N STE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144129",
"telephone_number": "316-395-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOETMER",
"first_name": "DESIREE",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "06791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESIREE",
"last_name": "HOETMER",
"credential": "LSCSW",
"code": "5",
"type": "Other 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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.