Individual provider Active NPI

Kaylee Ruiz-Lopez

  • Clinical Social Worker
  • Liberal, KS
National Provider Identifier
1649901885
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06953 Issued in KS
Practice address
2330 N Kansas Ave
Liberal, KS 67901-2372
Phone
(620) 624-0463
NPI assigned
Jun 20, 2022
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 06953 KS Primary

Addresses

Primary practice location

2330 N Kansas Ave
Liberal, KS 67901-2372

Mailing address

712 Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eclinicalworks

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
I20251008003770 KS Practitioner - Clinical Social Worker 7810494531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 N Kansas Ave
Liberal, KS 67901-2372
Phone (620) 624-0463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06953KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Sep 29, 2025 Accepting new patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Sep 29, 2025 Accepting new patients

Locations

712 Saint John St
Garden City, KS 67846
Phone (620) 271-7400

712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766

2330 N Kansas Ave
Liberal, KS 67901
Phone (620) 624-0463

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1649901885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SAINT JOHN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465128",
            "telephone_number": "620-275-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012372",
            "telephone_number": "620-624-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-LOPEZ",
        "first_name": "KAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eclinicalworks",
            "affiliation": "N",
            "address_1": "2330 N Kansas Ave",
            "city": "Liberal",
            "state": "KS",
            "country_code": "US",
            "postal_code": "679012372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.