Individual provider Active NPI

Marla V Clouse, LSCSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1508263146
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4693 Issued in KS
Practice address
801 S Clear Creek Cir
Wichita, KS 67230-7212
Phone
(316) 619-6805
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4693 KS Primary
Social Worker 104100000X 6301 KS

Addresses

Primary practice location

801 S Clear Creek Cir
Wichita, KS 67230-7212

Mailing address

801 S Clear Creek Cir
Wichita, KS 67230-7212
Phone (316) 619-6805

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
I20180116000099 KS Practitioner - Clinical Social Worker 4183983356 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 S Clear Creek Cir
Wichita, KS 67230-7212
Phone (316) 619-6805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick PastSince Jul 1, 2020 Accepting new patients
Prairie View, Inc. PastSince Jan 22, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1508263146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CLEAR CREEK CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307212",
            "telephone_number": "316-619-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CLEAR CREEK CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307212",
            "telephone_number": "316-619-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "MARLA",
        "middle_name": "V",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4693",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.