Individual provider Active NPI

Terri Lynn Brown, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1619054590
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1236 Issued in KS
Practice address
6606 W Central Ave
Wichita, KS 67212-3315
Phone
(316) 221-2661
Fax
(316) 636-1190
NPI assigned
Oct 31, 2006
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 1236 KS Primary

Addresses

Primary practice location

6606 W Central Ave
Wichita, KS 67212-3315

Mailing address

6606 W Central Ave
Wichita, KS 67212-3315
Phone (316) 221-2661

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
I20090813000165 KS Practitioner - Clinical Social Worker 6305990102 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6606 W Central Ave
Wichita, KS 67212-3315
Phone (316) 221-2661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1236KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leatanya E Koppa, LLC PastSince Jul 22, 2025 Accepting new patients
The Therapy Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1619054590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123315",
            "telephone_number": "316-221-2661",
            "fax_number": "316-636-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123315",
            "telephone_number": "316-221-2661",
            "fax_number": "316-636-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.