Individual provider Active NPI

Ayrika Watson, LMSW

  • Social Worker
  • Garden City, KS
National Provider Identifier
1578040606
Registry record updated Jul 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11000 Issued in KS
Practice address
201 E Laurel St
Garden City, KS 67846-5538
Phone
(620) 272-9506
Fax
(620) 272-9833
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11000 KS Primary

Addresses

Primary practice location

201 E Laurel St
Garden City, KS 67846-5538

Mailing address

201 E Laurel St
Garden City, KS 67846-5538
Phone (620) 272-9506

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
I20230421001065 KS Practitioner - Clinical Social Worker 6002271285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1719 E Texas St
Garden City, KS 67846-3662
Phone (316) 285-0203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11000KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Journeys LLC CurrentSince Mar 23, 2023 Accepting new patients

Locations

1719 E Texas St
Garden City, KS 67846
Phone (316) 285-0203

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": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532131200000",
    "number": "1578040606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAUREL ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465538",
            "telephone_number": "620-272-9506",
            "fax_number": "620-272-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAUREL ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465538",
            "telephone_number": "620-272-9506",
            "fax_number": "620-272-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AYRIKA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2018-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.