Individual provider Active NPI

Angelia J Swank, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1346378478
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3718 Issued in KS
Practice address
520 S Holland St
Suite 401
Wichita, KS 67209-2096
Phone
(316) 729-9965
Fax
(855) 770-3988
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 3718 KS Primary

Addresses

Primary practice location

520 S Holland St
Suite 401
Wichita, KS 67209-2096

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
856680OtherKSBCBS
200440770AMedicaidKS
11758845OtherCAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3718KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanette Diederich Clinical Past Accepting new patients
Earnestine Lamonica Williams Past Accepting new patients

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1346378478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965",
            "fax_number": "855-770-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965",
            "fax_number": "855-770-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANK",
        "first_name": "ANGELIA",
        "middle_name": "J",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "856680",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200440770A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11758845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 2017; 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.