Summer Rhodes, LMSW
Individual provider Active NPI Social Worker · Great Bend, KS
NPI 1467276352 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1467276352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 13304 (KS)
- Practice address
- 809 S Patton Rd
Great Bend, KS 67530-4620 - Phone
- (620) 796-2206
- Fax
- (620) 796-2208
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241230001715 | KS | Practitioner - Clinical Social Worker | 5395272561 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13304 | KS | MD | Social Worker |
| 13394 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenues for Change | Current |
Accepting new patients |
Locations
809 S Patton Rd
Great Bend, KS 67530
Phone (620) 796-2206
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13304 | KS | Yes |
Addresses
Primary practice location
809 S Patton Rd
Great Bend, KS 67530-4620
Mailing address
PO Box 1223
Great Bend, KS 67530-1223
Phone (620) 796-2206
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.