Organization Active NPI

Kathleen Waddell Lscsw

  • Community/Behavioral Health Agency
  • Topeka, KS
National Provider Identifier
1639443674
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LSCSW 1081 Issued in KS
Legal business name
KATHLEEN WADDELL LSCSW
Practice address
3600 SW Burlingame Rd
Suite 1a
Topeka, KS 66611-2053
Phone
(778) 526-6400
Fax
(785) 266-4000
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Kathleen W Waddell, LSCSW
Title
Independent Practitioner
Phone
78526644000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LSCSW 1081 KS Primary

Addresses

Primary practice location

3600 SW Burlingame Rd
Suite 1a
Topeka, KS 66611-2053

Mailing address

3600 SW Burlingame Rd
Ste. 1a
Topeka, KS 66611-2053

Other identifiers 1

IdentifierTypeStateIssuer
100003400AMedicaidKS

National Provider Directory

National Provider Directory

Locations

3600 SW Burlingame Rd
Ste 1A
Topeka, KS 66611
Phone (785) 267-0156

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1639443674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SW BURLINGAME RD",
            "address_2": "STE. 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SW BURLINGAME RD",
            "address_2": "SUITE 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112053",
            "telephone_number": "778-526-6400",
            "fax_number": "785-266-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN WADDELL LSCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "INDEPENDENT PRACTITIONER",
        "authorized_official_telephone_number": "78526644000",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "LSCSW 1081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003400A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.