Active NPI
Nadine Reimer Penner, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1699103739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1038
- Practice address
- 313 S Market Street
Wichita, KS 67202 - Phone
- (316) 265-9441
- Fax
- (316) 265-6066
- NPI assigned
- Oct 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1038 | KS | Primary |
Addresses
Primary practice location
313 S Market Street
Wichita, KS 67202
Mailing address
313 S Market Street
Wichita, KS 67202
Phone (316) 265-9441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1038 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1699103739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 S MARKET STREET",
"city": "WICHITA",
"state": "KS",
"postal_code": "67202",
"telephone_number": "316-265-9441",
"fax_number": "316-265-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 S MARKET STREET",
"city": "WICHITA",
"state": "KS",
"postal_code": "67202",
"telephone_number": "316-265-9441",
"fax_number": "316-265-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIMER PENNER",
"first_name": "NADINE",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.