Individual provider Active NPI

Linda S Fitzgerald, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1568676674
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 2406 Issued in KS
Practice address
250 N Rock Rd
Suite 300D
Wichita, KS 67206-2203
Phone
(316) 207-3829
Fax
(316) 681-0877
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW 2406 KS Primary

Addresses

Primary practice location

250 N Rock Rd
Suite 300D
Wichita, KS 67206-2203

Mailing address

6319 E Brookview CT
Wichita, KS 67220-4414
Phone (316) 207-3829

Other identifiers 1

IdentifierTypeStateIssuer
70308OtherKSBCBS

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
I20040607000926 KS Practitioner - Clinical Social Worker 3971585498 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 N Rock Rd
Suite 300D
Wichita, KS 67206-2263
Phone (316) 207-3829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 2406KSMDClinical Social Worker
2406KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. PastSince Jul 27, 2009 Accepting new patients

Organizations & group practices 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1568676674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 E BROOKVIEW CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672204414",
            "telephone_number": "316-207-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD",
            "address_2": "SUITE 300D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062203",
            "telephone_number": "316-207-3829",
            "fax_number": "316-681-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 2406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70308",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.