Individual provider Active NPI

Allysa Lynn Hupko, LMSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1356899504
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06301 Issued in KS
Practice address
910 S Bluffview Dr
Wichita, KS 67218-3024
Phone
(316) 807-4418
Fax
(888) 316-9320
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0631 KS
Clinical Social Worker 1041C0700X 9701 TN
Clinical Social Worker 1041C0700X 21542 OK
Clinical Social Worker 1041C0700X 22836 AZ
Clinical Social Worker 1041C0700X 06301 KS Primary

Addresses

Primary practice location

910 S Bluffview Dr
Wichita, KS 67218-3024

Mailing address

910 S Bluffview Dr
Wichita, KS 67218-3024
Phone (316) 807-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TN, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241007000380 KS Practitioner - Clinical Social Worker 7911438635 Reassigns benefits to 1 organization
I20250612002652 TN Practitioner - Clinical Social Worker 7911438635 Reassigns benefits to 1 organization
I20250618000464 AZ Practitioner - Clinical Social Worker 7911438635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0631KSMDSocial Worker
06301KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of Kansas PA Clinical CurrentSince May 6, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 6, 2025 Accepting new patients
Providence Physical Therapy PastSince Aug 7, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Organizations & group practices 3

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1356899504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S BLUFFVIEW DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183024",
            "telephone_number": "316-807-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BLUFFVIEW DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183024",
            "telephone_number": "316-807-4418",
            "fax_number": "888-316-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPKO",
        "first_name": "ALLYSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "0631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9701",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "21542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.