Derby Emotional Wellness

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1527 Issued in KS

Legal business name

DERBY EMOTIONAL WELLNESS

Practice address

1721 E Osage
Suite 300
Derby, KS 67037-2290

Phone

(316) 788-1907

Fax

(316) 788-1941

NPI assigned

Apr 20, 2009

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Ann Myers-Landsverk, LSCSW

Title

PHD, Lscsw

Phone

(316) 788-1907

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1275777328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E OSAGE",
            "address_2": "SUITE 300",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372290",
            "telephone_number": "316-788-1907",
            "fax_number": "316-788-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E OSAGE",
            "address_2": "SUITE 300",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372290",
            "telephone_number": "316-788-1907",
            "fax_number": "316-788-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY EMOTIONAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "MYERS-LANDSVERK",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHD, LSCSW",
        "authorized_official_telephone_number": "316-788-1907",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4695",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "1527",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1527",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Derby, KS
• Providers in Derby, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.