Individual provider Active NPI

Andrea Lynn Kasper-Doggett, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1386992691
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4464 Issued in KS
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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 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

IdentifierTypeStateIssuer
200965900AMedicaidKS
200965900DMedicaidKS

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
I20150818005195 KS Practitioner - Clinical Social Worker 8224343363 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Goldfinch Therapy and Wellness LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Affiliated Family Counselors LLC CurrentSince Mar 1, 2016 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.

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

Verify at the official NPI Registry.