Individual provider Active NPI

Phillip Newman, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1629045273
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3541 Issued in KS
Practice address
1861 N. Rock Road Suite 103
Wichita, KS 67206-1264
Phone
(316) 688-1790
Fax
(316) 688-1795
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 3541 KS Primary

Addresses

Primary practice location

1861 N. Rock Road Suite 103
Wichita, KS 67206-1264

Mailing address

1861 N Rock Rd Ste 103
Wichita, KS 67206-1264
Phone (316) 688-1790

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
I20060215000481 KS Practitioner - Clinical Social Worker 4587679360 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 N Woodlawn St
Suite 1
Witchita, KS 67208-4333
Phone (316) 688-1790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1629045273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-688-1790",
            "fax_number": "316-688-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N. ROCK ROAD SUITE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-688-1790",
            "fax_number": "316-688-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "PHILLIP",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.