Derrick Lance Hurst, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4366 Issued in KS

Practice address

21350 W 153Rd St
Olathe, KS 66061-5413

Phone

(913) 322-2400

Fax

(913) 621-5730

NPI assigned

Nov 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Level LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1982378220
  Medicare reassignment NPD
• Dermatology and Skin Cancer Specialists, LLC

  • Dermatology Physician
  • Leawood, KS
  • NPI 1205880846
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1629258744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21350 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615413",
            "telephone_number": "913-322-2400",
            "fax_number": "913-621-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21350 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615413",
            "telephone_number": "913-322-2400",
            "fax_number": "913-621-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "DERRICK",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4366",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Eugene Humphrey, DPM
• Heather Hunt, OTR
• Stacie L. Hunt, LSCSW
• Taylor Hunter
• Jason Michael Hurd, LMSW
• Justine Hurst
• Katrina Huseman
• Eric Richard Hutley, DC
• Hy-Vee Inc
• Hy-Vee Inc

• Clinical Social Worker in Olathe, KS
• Providers in Olathe, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.