Active NPI
Angelica Clark
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1487329173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07101
- Practice address
- 4155 E Harry St
Wichita, KS 67218-3725 - Phone
- (785) 825-0541
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07101 | KS | Primary |
Addresses
Primary practice location
4155 E Harry St
Wichita, KS 67218-3725
Mailing address
110 W Otis Ave
Salina, KS 67401-8713
Phone (785) 825-0541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
271 W 3Rd St N
Suite 600
Wichita, KS 67202-1223
5943 N Ridge Rd
Maize, KS 67101-8857
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12255 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1487329173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W OTIS AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674018713",
"telephone_number": "785-825-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183725",
"telephone_number": "785-825-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANGELICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "07101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.