Individual provider Active NPI

Dawn R Robinson, LSCSW, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1376649665
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2152 Issued in KS
Practice address
123 N. Tyler Road
Suite 300
Wichita, KS 67212-3726
Phone
(316) 869-2220
Fax
(316) 869-2221
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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 2152 KS Primary

Addresses

Primary practice location

123 N. Tyler Road
Suite 300
Wichita, KS 67212-3726

Mailing address

123 N. Tyler Road
Suite 300
Wichita, KS 67212-3726
Phone (316) 869-2220

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
I20040827000607 KS Practitioner - Clinical Social Worker 5890760409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1376649665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N. TYLER ROAD",
            "address_2": "SUITE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123726",
            "telephone_number": "316-869-2220",
            "fax_number": "316-869-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N. TYLER ROAD",
            "address_2": "SUITE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123726",
            "telephone_number": "316-869-2220",
            "fax_number": "316-869-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "LSCSW, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.