Eunkyoung Mariah Warden, LSCSW,LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3990 Issued in KS

Practice address

560 S Oliver St
Wichita, KS 67218-2351

Phone

(316) 260-1127

Fax

(316) 260-1137

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mariah Warden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1427257237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182351",
            "telephone_number": "316-260-1127",
            "fax_number": "316-260-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182351",
            "telephone_number": "316-260-1127",
            "fax_number": "316-260-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "EUNKYOUNG",
        "middle_name": "MARIAH",
        "credential": "LSCSW,LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200438070D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200438070A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "WARDEN",
            "credential": "LSCSW,LCAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauryn Ward
• Margaret Ward, APRN
• Mary Carol Ward, LMSW
• Spencer Ward, DO
• Warden Unlimited LLC
• Mary Anne Warden, ARNP
• Michelle Marie Warden, A.C.N.P.
• David Bertrand Warders, CPTA
• Melissa Dawn Warders, P.T.
• Danyelle Ware, LMSW

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.