Individual provider Active NPI

Rose A Vinduska, LSCSW, LCAC

  • Clinical Social Worker
  • Marion, KS
National Provider Identifier
1700964111
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1914 Issued in KS
Practice address
416 N Roosevelt St
Marion, KS 66861
Phone
(620) 217-4545
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 1914 KS Primary

Addresses

Primary practice location

416 N Roosevelt St
Marion, KS 66861

Mailing address

416 N Roosevelt St
Marion, KS 66861-1324
Phone (620) 217-4545

Other practice location 1

805 Western Heights Cir
Hillsboro, KS 67063-1163
Phone (620) 947-3200

Other practice location 2

416 N Roosevelt St
Marion, KS 66861-1324
Phone (620) 217-4545

Other practice location 3

416 N Roosevelt St
Marion, KS 66861-1324
Phone (620) 217-4545

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1914KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1700964111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N ROOSEVELT ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611324",
            "telephone_number": "620-217-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N ROOSEVELT ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "66861",
            "telephone_number": "620-217-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Western Heights Cir",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "KS",
            "postal_code": "670631163",
            "country_code": "US",
            "telephone_number": "620-947-3200",
            "fax_number": "620-947-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 N Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "KS",
            "postal_code": "668611324",
            "country_code": "US",
            "telephone_number": "620-217-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 N Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "KS",
            "postal_code": "668611324",
            "country_code": "US",
            "telephone_number": "620-217-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINDUSKA",
        "first_name": "ROSE",
        "middle_name": "A",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.