Active NPI
Carrie Brock, LSCSW
- Clinical Social Worker
- McPherson, KS
National Provider Identifier
1427828953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06658
- Practice address
- 103 W Marlin St
McPherson, KS 67460-4229 - Phone
- (620) 309-3607
- Fax
- (620) 203-6173
- NPI assigned
- Jan 5, 2024
- Last updated
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7080 | KS | |
| Clinical Social Worker | 1041C0700X | 06658 | KS | Primary |
Addresses
Primary practice location
103 W Marlin St
McPherson, KS 67460-4229
Mailing address
103 W Marlin St
McPherson, KS 67460
Phone (620) 309-3607
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7080 | KS | MD | Social Worker |
| 06658 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1427828953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W MARLIN ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "67460",
"telephone_number": "620-309-3607",
"fax_number": "620-203-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W MARLIN ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674604229",
"telephone_number": "620-309-3607",
"fax_number": "620-203-6173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "CARRIE",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7080",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "06658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McPherson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.