Individual provider Active NPI

Katie Herwig, LSCSW

  • Clinical Social Worker
  • Salina, KS
National Provider Identifier
1336496546
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 4443 Issued in KS
Practice address
600 S Santa Fe Ave
Ste C
Salina, KS 67401-4171
Phone
(785) 823-6322
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8411 KS
Clinical Social Worker 1041C0700X LSCSW 4443 KS Primary

Addresses

Primary practice location

600 S Santa Fe Ave
Ste C
Salina, KS 67401-4171

Mailing address

600 S Santa Fe Ave
Ste C
Salina, KS 67401-4171
Phone (785) 823-6322

Other names 1

  • Katie R Kilgore Former name

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
I20150519001857 KS Practitioner - Clinical Social Worker 2062732886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 S Santa Fe Ave
Suite C
Salina, KS 67401-4171
Phone (316) 288-8009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8411KSMDSocial Worker
LSCSW 4443KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Psychotherapy, LLC Clinical CurrentSince Nov 8, 2021 Accepting new patients

Locations

600 S Santa Fe Ave
Ste C
Salina, KS 67401
Phone (316) 288-8009

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1336496546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SANTA FE AVE",
            "address_2": "STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014171",
            "telephone_number": "785-823-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S SANTA FE AVE",
            "address_2": "STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014171",
            "telephone_number": "785-823-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWIG",
        "first_name": "KATIE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8411",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 4443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KILGORE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.