Individual provider Active NPI

Carol Renee Degenhardt, LMSW

  • Case Manager/Care Coordinator
  • Topeka, KS
National Provider Identifier
1548532732
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
LMSW 8037 Issued in KS
Practice address
4101 SW Cambridge Ave
Topeka, KS 66610-1426
Phone
(785) 408-9571
Fax
(785) 271-6572
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LMSW 8037 KS Primary

Addresses

Primary practice location

4101 SW Cambridge Ave
Topeka, KS 66610-1426

Mailing address

4101 SW Cambridge Ave
Topeka, KS 66610-1426
Phone (785) 408-9571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW 8037KSMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1548532732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 SW CAMBRIDGE AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101426",
            "telephone_number": "785-408-9571",
            "fax_number": "785-271-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 SW CAMBRIDGE AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101426",
            "telephone_number": "785-408-9571",
            "fax_number": "785-271-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENHARDT",
        "first_name": "CAROL",
        "middle_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KS",
            "license": "LMSW 8037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.