Individual provider Active NPI

Summer Rhodes, LMSW

  • Social Worker
  • Great Bend, KS
National Provider Identifier
1467276352
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13304 Issued in 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
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13304 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241230001715 KS Practitioner - Clinical Social Worker 5395272561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13304KSMDSocial Worker
13394KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues for Change CurrentSince Jan 1, 2025 Accepting new patients

Locations

809 S Patton Rd
Great Bend, KS 67530
Phone (620) 796-2206

Organizations & group practices 1

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1467276352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1223",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675301223",
            "telephone_number": "620-796-2206",
            "fax_number": "620-796-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S PATTON RD",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304620",
            "telephone_number": "620-796-2206",
            "fax_number": "620-796-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "SUMMER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "13304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.