Individual provider Active NPI

Curtis Benge, LMSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1417529330
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12212 Issued in KS
Practice address
8911 E Orme St Ste D
Wichita, KS 67207-2424
Phone
(316) 425-7774
Fax
(316) 425-7779
NPI assigned
Jul 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 12212 KS Primary

Addresses

Primary practice location

8911 E Orme St Ste D
Wichita, KS 67207-2424

Mailing address

8911 E Orme St Ste D
Wichita, KS 67207-2424
Phone (316) 425-7774

Other identifiers 1

IdentifierTypeStateIssuer
12212OtherKSKANSAS BEHAVIORAL SCIENCES REGULATORY BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rlcwichita.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12212KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1417529330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 E ORME ST STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072424",
            "telephone_number": "316-425-7774",
            "fax_number": "316-425-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 E ORME ST STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072424",
            "telephone_number": "316-425-7774",
            "fax_number": "316-425-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGE",
        "first_name": "CURTIS",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD",
            "identifier": "12212",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rlcwichita.com",
            "affiliation": "N",
            "endpointDescription": "secure website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8911 E Orme St Ste D",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672072424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.