Individual provider Active NPI

Brent Delos Cain, MSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1295879641
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 699 Issued in KS
Practice address
3601 SW 29TH St
Ste 110
Topeka, KS 66614-2015
Phone
(785) 272-3535
Fax
(785) 272-3536
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW 699 KS Primary

Addresses

Primary practice location

3601 SW 29TH St
Ste 110
Topeka, KS 66614-2015

Mailing address

10527 SW Indian Hills Rd
Wakarusa, KS 66546-9614
Phone (785) 273-0937

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
I20090302000097 KS Practitioner - Clinical Social Worker 4385700285 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3601 SW 29TH St
Topeka, KS 66614-2015
Phone (785) 272-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 699KSMDClinical Social Worker
699KSMDMarriage & Family Therapist
0699KSMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1295879641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10527 SW INDIAN HILLS RD",
            "city": "WAKARUSA",
            "state": "KS",
            "postal_code": "665469614",
            "telephone_number": "785-273-0937",
            "fax_number": "785-228-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 29TH ST",
            "address_2": "STE 110",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142015",
            "telephone_number": "785-272-3535",
            "fax_number": "785-272-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "BRENT",
        "middle_name": "DELOS",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.