Individual provider Active NPI

Deanna M Ecklund, LMAC, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1396160628
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5025 E Kellogg Dr
Wichita, KS 67218-1500
Phone
(316) 806-9887
NPI assigned
Feb 24, 2014
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 Primary

Addresses

Primary practice location

5025 E Kellogg Dr
Wichita, KS 67218-1500

Mailing address

5025 E Kellogg Dr
Wichita, KS 67218-1500
Phone (316) 390-2977

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
I20211006001771 KS Practitioner - Clinical Social Worker 0042618001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3715 N Crest Cir
Wichita, KS 67226-1032
Phone (316) 806-9887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Word of Life Ministries and Schools Inc Addiction (Substance Use Disorder) CurrentSince Aug 13, 2021 Accepting new patients
Light Path Mental Health Services LLC Mental Health CurrentSince Aug 10, 2024 Accepting new patients
County of Sedgwick Addiction (Substance Use Disorder) Past Accepting new patients
County of Sedgwick Past Accepting new patients
Gulf Coast Therapy Center Mental Health PastSince Jan 26, 2020 Accepting new patients

Locations

915 E 53rd St N
Park City, KS 67219
Phone (316) 677-6746

3811 N Meridian Cir
Wichita, KS 67204
Phone (316) 644-0316

5025 E Kellogg Dr
Wichita, KS 67218
Phone (316) 390-2977

Organizations & group practices 5

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1396160628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181500",
            "telephone_number": "316-390-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181500",
            "telephone_number": "316-806-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLUND",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "LMAC, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.