Active NPI
Andrea Lynn Kasper-Doggett, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1386992691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4464
- Practice address
- 100 S Market St Ste 2a
Wichita, KS 67202 - Phone
- (316) 361-0662
- Fax
- (844) 766-7540
- NPI assigned
- Aug 16, 2012
- Last updated
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4464 | KS | Primary |
Addresses
Primary practice location
100 S Market St Ste 2a
Wichita, KS 67202
Mailing address
100 S Market St Ste 2a
Wichita, KS 67202-3824
Phone (316) 361-0662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200965900A | Medicaid | KS | |
| 200965900D | Medicaid | KS |
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
Enrollment records 1
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)
100 S Market St
Suite 2a
Wichita, KS 67202-3824
Phone (316) 619-7604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldfinch Therapy and Wellness LLC | Clinical | Current | Accepting new patients |
| Affiliated Family Counselors LLC | Current | Accepting new patients |
Locations
100 S Market St
Ste 2A
Wichita, KS 67202
Phone (316) 361-0662
1855 N Webb Rd
Wichita, KS 67206
Phone (316) 634-0060
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1396305835
-
- Mental Health Counselor
- Wichita, KS
- NPI 1861642803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1386992691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MARKET ST STE 2A",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023824",
"telephone_number": "316-361-0662",
"fax_number": "844-766-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MARKET ST STE 2A",
"city": "WICHITA",
"state": "KS",
"postal_code": "67202",
"telephone_number": "316-361-0662",
"fax_number": "844-766-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER-DOGGETT",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200965900A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200965900D",
"state": "KS"
}
],
"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 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.