Individual provider Active NPI

Lindsay Kroeger, LSCSW, LICSW, RPT-S

  • Clinical Social Worker
  • El Dorado, KS
National Provider Identifier
1205494572
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05676 Issued in KS
Practice address
205 E 12TH Ave
El Dorado, KS 67042-4322
Phone
(316) 313-4107
Fax
(316) 313-4111
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 05676 KS Primary

Addresses

Primary practice location

205 E 12TH Ave
El Dorado, KS 67042-4322

Mailing address

205 E 12TH Ave
El Dorado, KS 67042-4322
Phone (316) 313-4107

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
05676KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlight Children's Services CurrentSince Aug 6, 2023 Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

205 E 12th Ave
El Dorado, KS 67042
Phone (316) 313-4107

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1205494572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 12TH AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670424322",
            "telephone_number": "316-313-4107",
            "fax_number": "316-313-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 12TH AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670424322",
            "telephone_number": "316-313-4107",
            "fax_number": "316-313-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "LINDSAY",
        "credential": "LSCSW, LICSW, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.