Individual provider Active NPI

Kendra Marie Stuke, LSCSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1265576805
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 3860 Issued in KS
Practice address
720 Poyntz Ave
Manhattan, KS 66502-6355
Phone
(785) 320-7331
NPI assigned
Feb 16, 2007
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW 3860 KS Primary
Clinical Social Worker 1041C0700X 3266 KS

Addresses

Primary practice location

720 Poyntz Ave
Manhattan, KS 66502-6355

Mailing address

720 Poyntz Ave
Manhattan, KS 66502-6355
Phone (785) 320-7331

Other practice location 1

1558 Hayes Dr
Manhattan, KS 66502-5068
Phone (785) 587-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Manhattan Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100209000592 KS Practitioner - Clinical Social Worker 4981747284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pawnee Mental Health Service IncGroup PAC ID 3870406820, 29 clinicians

Practice addresses (Care Compare)

1558 Hayes Dr
Manhattan, KS 66502-5068
Phone (785) 587-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3266KSMDClinical Social Worker
LSCSW 3860KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince May 27, 2022 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince May 27, 2022 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

1558 Hayes Dr
Manhattan, KS 66502
Phone (785) 587-4315

2001 Claflin Rd
Manhattan, KS 66502

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1265576805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026355",
            "telephone_number": "785-320-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026355",
            "telephone_number": "785-320-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1558 Hayes Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665025068",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUKE",
        "first_name": "KENDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 3860",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Manhattan",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 Poyntz Ave",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665026355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.