Marlene Ruby Ibarra

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12439-T Issued in KS

Practice address

8335 E Kellogg Dr
Wichita, KS 67207-1839

Phone

(316) 711-7135

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1487303103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W SAINT LOUIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035114",
            "telephone_number": "316-214-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 E KELLOGG DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071839",
            "telephone_number": "316-711-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "MARLENE",
        "middle_name": "RUBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "12439-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTERS SOCIAL WORKER-TEMPORARY",
            "identifier": "12439-T",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hylo Urgent Care Clinics, P.a.
• Cathy A Hyson
• Meghan M Iacuzzi, LMSW
• Sofia Iankovitch, MD
• Brooke Iarussi, PA
• Maythe Carolina Ibarra
• Ibis Solutions, LLC
• Ibrace Medical
• Jessica Ibsen
• Caroline Wanjiru Ichura, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.