Individual provider Active NPI

Patricia Elizabeth Herrera-Thomas, LSCSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1669584694
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1555 Issued in KS
Practice address
3601 SW 29TH St Ste 101
Topeka, KS 66614-2015
Phone
(785) 271-1614
Fax
(785) 271-8831
NPI assigned
Aug 31, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1555 KS Primary

Addresses

Primary practice location

3601 SW 29TH St Ste 101
Topeka, KS 66614-2015

Mailing address

3601 SW 29TH St Ste 101
Topeka, KS 66614-2015
Phone (785) 271-1614

Other identifiers 1

IdentifierTypeStateIssuer
100283530BMedicaidKS

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
I20120411000777 KS Practitioner - Clinical Social Worker 2466613872

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669584694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 29TH ST STE 101",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142015",
            "telephone_number": "785-271-1614",
            "fax_number": "785-271-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 29TH ST STE 101",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142015",
            "telephone_number": "785-271-1614",
            "fax_number": "785-271-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA-THOMAS",
        "first_name": "PATRICIA",
        "middle_name": "ELIZABETH",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100283530B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.