Active NPI
Kim Cross, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1285748889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW 2275
- Practice address
- 7777 E Osie St
Ste. 310
Wichita, KS 67207-3106 - Phone
- (316) 688-9850
- Fax
- (316) 448-0332
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW 2275 | KS | Primary |
Addresses
Primary practice location
7777 E Osie St
Ste. 310
Wichita, KS 67207-3106
Mailing address
7777 E Osie St
Ste. 310
Wichita, KS 67207-3106
Phone (316) 688-9850
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070781 | Other | KS | BCBS |
| 12313 | Other | KS | PPK/PHS |
| 200357890B | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW 2275 | KS | MD | Clinical Social Worker |
| 2275 | KS | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374364800000",
"number": "1285748889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 E OSIE ST",
"address_2": "STE. 310",
"city": "WICHITA",
"state": "KS",
"postal_code": "672073106",
"telephone_number": "316-688-9850",
"fax_number": "316-448-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 E OSIE ST",
"address_2": "STE. 310",
"city": "WICHITA",
"state": "KS",
"postal_code": "672073106",
"telephone_number": "316-688-9850",
"fax_number": "316-448-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "KIM",
"name_prefix": "Ms.",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2013-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LSCSW 2275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "070781",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPK/PHS",
"identifier": "12313",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200357890B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.