Alpha Warren Bales, LSCSW
Individual provider Active NPI Clinical Social Worker · Hiawatha, KS
NPI 1588798136 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1588798136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4051 (KS)
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- Fax
- (785) 742-3085
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kanza Mental Health and Guidance Center, Inc.
Practice addresses (Care Compare)
909 S 2ND St
Hiawatha, KS 66434-2774
Phone (785) 742-7113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110504000333 | KS | Practitioner - Clinical Social Worker | 5092990200 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanza Mental Health and Guidance Center, Inc. | Current |
Accepting new patients |
Locations
909 S 2nd St
Hiawatha, KS 66434
Phone (785) 742-7113
510 Kansas Ave
Holton, KS 66436
Phone 78536421162195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4051 | KS | Yes |
Addresses
Primary practice location
909 S 2ND St
Hiawatha, KS 66434-2774
Mailing address
1400 SW Clontarf St
Topeka, KS 66611-2420
Phone (785) 267-4740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097950A | Medicaid | KS | |
| 200434510A | Medicaid | KS |
Other providers in Hiawatha, KS
- Ap Homes Operations Hiawatha KS, LLC
- Ap Homes Operations Hiawatha KS, LLC
- Roxanne Armstrong
- Janet Bair-Carpenter
- Karen L. Baker
- Cassandra Bangert-Twombly
- Bartek Chiropractic of Hiawatha LLC
- Laura Bartek
- Angela Beims
- Theresa L Benskin
All providers in Hiawatha, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.