Individual provider Active NPI

George C Wanke, LSCSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1437120227
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013038 Issued in VA
Practice address
3707 SW 6TH Ave
Topeka, KS 66606
Phone
(785) 270-4630
Fax
(785) 270-2084
NPI assigned
Jan 30, 2006
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0872 KS
Clinical Social Worker 1041C0700X 0904013038 VA Primary

Addresses

Primary practice location

3707 SW 6TH Ave
Topeka, KS 66606

Mailing address

3707 SW 6TH Ave
Topeka, KS 66606-2084
Phone (785) 270-4630

Other identifiers 4

IdentifierTypeStateIssuer
110661020OtherKSMEDICARE PTAN
070321OtherKSMEDICARE PTAN
100097940AMedicaidKS
200439570BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040617001542 KS Practitioner - Clinical Social Worker 1153305883 Reassigns benefits to 1 organization
I20211216000106 VA Practitioner - Clinical Social Worker 1153305883 Reassigns benefits to 1 organization
I20211217000852 DC Practitioner - Clinical Social Worker 1153305883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

6076 Franconia Rd
Suite D
Alexandria, VA 22310-1768
Phone (703) 828-9054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0872KSMDClinical Social Worker
0904013038VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 26, 2021 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Current Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

3707 SW 6th Ave
Topeka, KS 66606
Phone (785) 270-4630

901 SW Garfield Ave
Topeka, KS 66606

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Organizations & group practices 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1437120227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062084",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66606",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKE",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "0872",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "110661020",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "070321",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097940A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439570B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.