Courtney Alexus Wolvington, LSCSW, CPT, CFRC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

909 S 2ND St
Hiawatha, KS 66434-2774

Phone

(785) 741-5105

NPI assigned

Oct 25, 2017

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Horizon Therapy Associates LLC

  • Clinical Social Worker
  • Hiawatha, KS
  • NPI 1558884205
  Medicare reassignment NPD

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1508378985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 2ND ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342774",
            "telephone_number": "785-741-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S 2ND ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342774",
            "telephone_number": "785-741-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVINGTON",
        "first_name": "COURTNEY",
        "middle_name": "ALEXUS",
        "name_prefix": "Mrs.",
        "credential": "LSCSW, CPT, CFRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Williams, CPTA
• Janet L Wilson, LSCSW
• Caleb Winkel
• Macee Jaclyn Winkel, PTA
• Michaela Lauren Winterscheidt, COTA/L
• Ronald G Wright, D.D.S.
• Joseph Anthony Yurek, LSCSW
• Khyber Sarwar Zalmai, PHARM.D
• Emily Ziegler, LMFT

• Clinical Social Worker in Hiawatha, KS
• Providers in Hiawatha, 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 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.