Individual provider Active NPI

Joy Renae Waldbauer, LMSW

  • Social Worker
  • Abilene, KS
National Provider Identifier
1477848646
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3650 Issued in KS
Practice address
306 N. Cedar
Abilene, KS 67410-2623
Phone
(785) 263-1328
Fax
(785) 263-4313
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3650 KS
Social Worker 104100000X 3650 KS Primary

Addresses

Primary practice location

306 N. Cedar
Abilene, KS 67410-2623

Mailing address

1805 S. Ohio St.
Salina, KS 67402-2117
Phone (785) 825-6224

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
I20240411003790 KS Practitioner - Clinical Social Worker 8426497363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

730 Holly LN
Salina, KS 67401-8452
Phone (785) 452-4930

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3650KSMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center, Inc CurrentSince Mar 2, 2024 Accepting new patients
Salina Regional Health Center Inc CurrentSince Mar 2, 2024 Accepting new patients
CKF Addiction Treatment, Inc PastSince Jun 5, 2020 Accepting new patients

Locations

730 Holly Ln
Salina, KS 67401
Phone (785) 452-4930

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ckfaddictiontreatment/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1477848646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S. OHIO ST.",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674022117",
            "telephone_number": "785-825-6224",
            "fax_number": "785-827-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N. CEDAR",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102623",
            "telephone_number": "785-263-1328",
            "fax_number": "785-263-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDBAUER",
        "first_name": "JOY",
        "middle_name": "RENAE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "3650",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, KS

Sources for this page

Verify at the official NPI Registry.