Individual provider Active NPI

Angela D Kooken, LMSW

  • Social Worker
  • Salina, KS
National Provider Identifier
1407168347
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7783 Issued in KS
Practice address
509 E Elm St
Salina, KS 67401-2353
Phone
(785) 825-0541
Fax
(785) 825-0062
NPI assigned
Jul 8, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7783 KS Primary

Addresses

Primary practice location

509 E Elm St
Salina, KS 67401-2353

Mailing address

509 E Elm St
Salina, KS 67401-2353
Phone (785) 825-0541

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
I20260129003063 KS Practitioner - Clinical Social Worker 2264910405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iroquois Center for Human Development, Inc.Group PAC ID 2062314081, 7 clinicians

Practice addresses (Care Compare)

610 E Grant Ave
Greensburg, KS 67054-2708
Phone (620) 723-2272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7783KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iroquois Center for Human Development, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Iroquois Center for Human Development, Inc. CurrentSince Jan 5, 2026 Accepting new patients

Locations

610 E Grant Ave
Greensburg, KS 67054
Phone (620) 723-2272

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1407168347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "785-825-0541",
            "fax_number": "785-825-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "785-825-0541",
            "fax_number": "785-825-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOKEN",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.