Andrea Humphreys, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4941 Issued in KS

Practice address

7570 W 21St St N
Suite 1026D
Wichita, KS 67205-1764

Phone

(316) 729-6555

Fax

(316) 634-4794

NPI assigned

Nov 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prairie View Inc

  • Community/Behavioral Health Agency
  • Newton, KS
  • NPI 1578252904
  NPD (past)

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1508318866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST, PO BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "SUITE 1026D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051764",
            "telephone_number": "316-729-6555",
            "fax_number": "316-634-4794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "KS",
            "postal_code": "671528125",
            "country_code": "US",
            "telephone_number": "620-326-7448 x250",
            "fax_number": "620-326-6662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 N Main St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033602",
            "country_code": "US",
            "telephone_number": "316-660-7525",
            "fax_number": "316-660-1897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672024304",
            "country_code": "US",
            "telephone_number": "316-660-9600",
            "fax_number": "316-660-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "ANDREA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Amanda Hulse, APRN
• Mary Dorothy Humble, LMSW
• Ashley Humlicek, DDS
• Kyla Hummel
• Wendy Susan Hummell, LPC
• Jessica L Humphries
• Larry R Hund, M.D.
• Jon D Hundley, CRNA
• Dawn Hungate, OTR
• Temani Hunley

• 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 Jul 7, 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.