Dominica Keltner West, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5109 Issued in KS

Practice address

520 S Holland St
Suite 401
Wichita, KS 67209-2096

Phone

(316) 729-9965

Fax

(316) 854-0950

NPI assigned

Aug 15, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Earnestine Lamonica Williams

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1104104504
  NPD (past)
• Jeanette Diederich

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1376813246
  NPD (past)

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281830400000",
    "number": "1447565403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W MANHATTAN DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045419",
            "telephone_number": "316-832-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 401",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-729-9965",
            "fax_number": "316-854-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTNER WEST",
        "first_name": "DOMINICA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-15",
        "last_updated": "2010-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Kelly
• Sarah E Kelly, CRNA
• Shyla Kelly, APRN
• Zachary Kelly, LMSW-T
• Melissa L Kelsay, RN
• David W Kemp, ORT
• Ruth Ellen Kemper, LCMFT
• David Kempin, PT
• Kimberly D Kenas, D.O.
• Brenna Kendall, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; 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.