Individual provider Active NPI

Paula S Philson, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1649349127
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1751 Issued in KS
Practice address
9333 E 21St St N
Wichita, KS 67206-2927
Phone
(316) 634-4700
Fax
(316) 634-4770
NPI assigned
Nov 7, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 1751 KS Primary

Addresses

Primary practice location

9333 E 21St St N
Wichita, KS 67206-2927

Mailing address

1901 E 1St St., PO Box 467
Newton, KS 67114-0467
Phone (316) 284-6402

Other identifiers 1

IdentifierTypeStateIssuer
068557OtherKSBCBS OF KS

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
I20040311000305 KS Practitioner - Clinical Social Worker 0143119941 Reassigns benefits to 4 organizations
Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ict Therapyworks, LLCGroup PAC ID 6709176118, 9 clinicians

Practice addresses (Care Compare)

8100 E 22ND St N
BLDG 2100 Suite 1
Wichita, KS 67226-2350
Phone (316) 260-6889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Nov 14, 2011 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Nov 14, 2011 Accepting new patients
Ict Therapy Works, LLC CurrentSince Jun 1, 2023 Accepting new patients
Midwest Counseling Services, LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients
Southwest Guidance Center Past Accepting new patients
South Central Mental Health Counseling Center, Inc. Clinical Past Accepting new patients
Resolutions Individual, Couple and Family Therapy LLC PastSince Oct 1, 2015 Accepting new patients
Southwest Guidance Center Past Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients
Prairie View, Inc. PastSince Dec 6, 2021 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

2001 Claflin Rd
Manhattan, KS 66502

545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889

Organizations & group practices 11

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1649349127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST., PO BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-284-6402",
            "fax_number": "316-284-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927",
            "telephone_number": "316-634-4700",
            "fax_number": "316-634-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILSON",
        "first_name": "PAULA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "068557",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.