Individual provider Active NPI

Marilyn S Possett, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1346209269
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3913 Issued in KS
Practice address
520 S Holland St
401
Wichita, KS 67209-2096
Phone
(316) 729-9965
NPI assigned
Mar 20, 2006
Last updated
Apr 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2225 OK
Clinical Social Worker 1041C0700X 3913 KS Primary

Addresses

Primary practice location

520 S Holland St
401
Wichita, KS 67209-2096

Mailing address

520 S Holland St
401
Wichita, KS 67209-2096
Phone (316) 729-9965

Other identifiers 1

IdentifierTypeStateIssuer
2072809OtherCIGNA BEHAVIORAL HEALTH

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
I20100105000711 KS Practitioner - Clinical Social Worker 9537200191 Reassigns benefits to 1 organization
Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 N Woodlawn St
Suite 1
Witchita, KS 67208-4333
Phone (316) 688-1790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Mental Health Counseling Center, Inc. Clinical CurrentSince Aug 6, 2014 Accepting new patients
Earnestine Lamonica Williams Past Accepting new patients
Jeanette Diederich Clinical Past Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

2821 Brookside Ct
Augusta, KS 67010
Phone (316) 425-0073

430 N Walnut St
Augusta, KS 67010
Phone (316) 775-5491

524 N Main St
El Dorado, KS 67042
Phone (316) 321-6036

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1346209269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSSETT",
        "first_name": "MARILYN",
        "middle_name": "S",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2225",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2072809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.