Connor Blake Wyckoff, LSCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10930 Issued in KS

Practice address

800 SW Jackson St
Ste 618 #528
Topeka, KS 66612

Phone

(785) 414-9911

Fax

(785) 414-5228

NPI assigned

Aug 14, 2018

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• CBW Therapy LLC

  dba CBW Therapy

  • Clinical Social Worker
  • Topeka, KS
  • NPI 1548943079
  NPD Authorized official
• Bert Nash Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
  • NPI 1841281805
  NPD
• Tava Clinical Services of California, P.C.

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1689450207
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1285114876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW JACKSON ST",
            "address_2": "STE 618 #528",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66612",
            "telephone_number": "785-414-9911",
            "fax_number": "785-414-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW JACKSON ST",
            "address_2": "STE 618 #528",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66612",
            "telephone_number": "785-414-9911",
            "fax_number": "785-414-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N Eisenhower Dr Apt K5",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660495132",
            "country_code": "US",
            "telephone_number": "972-351-7106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYCKOFF",
        "first_name": "CONNOR",
        "middle_name": "BLAKE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10930",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lambert A Wu, M.D.
• Zhi Yuan Wu, M.D.
• Amie Wunder, APRN
• Charles M Wurm, PA
• Theresa M Wurtz, LMSW
• David Andrew Wylie
• Lindsay Alisha Wynn, OTR
• Alan G Wynne, MD
• Hayley K Wynne, LMSW
• Xenon Anesthesia of Kansas LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.