Organization Active NPI

Molly Traffas, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1598857641
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2240 Issued in KS
Legal business name
MOLLY TRAFFAS, LLC
Practice address
3425 W Central Ave
Wichita, KS 67203-4919
Phone
(316) 946-0990
Fax
(316) 943-1139
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Molly L. Traffas, LSCSW
Title
Owner
Phone
(316) 946-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2240 KS Primary

Addresses

Primary practice location

3425 W Central Ave
Wichita, KS 67203-4919

Mailing address

3425 W Central Ave.
Wichita, KS 67203-4919
Phone (316) 946-0990

Other identifiers 2

IdentifierTypeStateIssuer
100457290BMedicaidKS
180517OtherKSBC/BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1598857641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 W CENTRAL AVE.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034919",
            "telephone_number": "316-946-0990",
            "fax_number": "316-943-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034919",
            "telephone_number": "316-946-0990",
            "fax_number": "316-943-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY TRAFFAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "TRAFFAS",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-946-0990",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100457290B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "180517",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.