Individual provider Active NPI

Tisha Darland, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1508943234
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4390 Issued in KS
Practice address
7807 E Funston St
Wichita, KS 67207-3123
Phone
(316) 636-1188
Fax
(316) 636-1199
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4862 KS
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 4390 KS Primary

Addresses

Primary practice location

7807 E Funston St
Wichita, KS 67207-3123

Mailing address

7807 E Funston St
Wichita, KS 67207-3123
Phone (316) 636-1188

Other practice location 1

934 N Water St
Wichita, KS 67203-3838
Phone (316) 660-7500

Other names 1

  • Tisha Birmingham Former name

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
I20090116000254 KS Practitioner - Clinical Social Worker 6204999238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7807 E Funston St
Wichita, KS 67207-3123
Phone (316) 636-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4862KSMDSocial Worker
4390KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tisha Darland LLC Clinical CurrentSince Aug 17, 2020 Accepting new patients
County of Sedgwick Past Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

7807 E Funston St
Wichita, KS 67207
Phone (316) 636-1188

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1508943234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188",
            "fax_number": "316-636-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188",
            "fax_number": "316-636-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 N Water St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033838",
            "country_code": "US",
            "telephone_number": "316-660-7500",
            "fax_number": "316-660-1897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARLAND",
        "first_name": "TISHA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4862",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISHA",
            "last_name": "BIRMINGHAM",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.