Active NPI
Mary Kathleen Newman, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1306025317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4125
- Practice address
- 4601 E Douglas Ave
Wichita, KS 67218-1011 - Phone
- (785) 608-8429
- Fax
- (844) 811-6367
- NPI assigned
- Oct 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5376 | KS | |
| Social Worker | 104100000X | 4125 | KS | Primary |
Addresses
Primary practice location
4601 E Douglas Ave
Wichita, KS 67218-1011
Mailing address
4601 E Douglas Ave
Wichita, KS 67218-1011
Phone (785) 608-8429
Other names 1
- Katie Gabbert
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5376 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1306025317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 E DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181011",
"telephone_number": "785-608-8429",
"fax_number": "844-811-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 E DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181011",
"telephone_number": "785-608-8429",
"fax_number": "844-811-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "5376",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "4125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "GABBERT",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.