NPIMap

Organization Active NPI

J. Oldham, Lscsw, P.a.

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1306363163
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4308 Issued in KS
Legal business name
J. OLDHAM, LSCSW, P.A.
Practice address
100 S Main St Ste 505
Wichita, KS 67202-3738
Phone
(316) 688-8390
Fax
(316) 688-8390
NPI assigned
Aug 23, 2017
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Ms. Josephine Elizabeth Oldham, LSCSWNPI 1194137976
Title
Owner
Phone
(316) 688-8390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4308 KS Primary

Addresses

Primary practice location

100 S Main St Ste 505
Wichita, KS 67202-3738

Mailing address

100 S Main St Ste 505
Wichita, KS 67202-3738
Phone (316) 688-8390

Other practice location 1

801 E Douglas Ave Fl 2
Wichita, KS 67202-3548
Phone (316) 688-8390 ext. 2

Other names 1

  • Mosaic Mental Wellness Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1306363163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 505",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023738",
            "telephone_number": "316-688-8390",
            "fax_number": "316-688-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 505",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023738",
            "telephone_number": "316-688-8390",
            "fax_number": "316-688-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Douglas Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023548",
            "country_code": "US",
            "telephone_number": "316-688-8390 x2",
            "fax_number": "316-688-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J. OLDHAM, LSCSW, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-688-8390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Mental Wellness",
            "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 Jul 17, 2023; 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.