Lynette Renee Wilkening, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4820 Issued in KS

Practice address

1625 E 30TH Ave
Hutchinson, KS 67502-1226

Phone

(888) 878-6881

Fax

(620) 728-0823

NPI assigned

Jun 18, 2012

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Level LLC

  dba Level Wellness Mind

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1982378220
  Medicare reassignment NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1255694055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021226",
            "telephone_number": "888-878-6881",
            "fax_number": "620-728-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021226",
            "telephone_number": "888-878-6881",
            "fax_number": "620-728-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENING",
        "first_name": "LYNETTE",
        "middle_name": "RENEE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8412",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wichert Optometry LLC
• Brent Alan Wichert, O.D.
• Kimberly Widler, NP-C
• Breanna Kristen Wiles, D.D.S.
• Matthew Wiles, DDS
• Greg A Wilkens, D.C.
• Sarah Elizabeth Willard, M.A., CFY-SLP
• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Makalyn Grace Williams
• Natalie Williams, PA

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.