Individual provider Active NPI

Stephanie Andrasek, LMSW

  • Social Worker
  • Great Bend, KS
National Provider Identifier
1720438153
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10021 Issued in KS
Practice address
2008 11TH St
Great Bend, KS 67530-4476
Phone
(620) 793-7454
Fax
(620) 793-7370
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10021 KS Primary

Addresses

Primary practice location

2008 11TH St
Great Bend, KS 67530-4476

Mailing address

2008 11TH St
Great Bend, KS 67530-4476
Phone (620) 793-7454

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

LicenseStateTypeSpecialty
10021KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1720438153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304476",
            "telephone_number": "620-793-7454",
            "fax_number": "620-793-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304476",
            "telephone_number": "620-793-7454",
            "fax_number": "620-793-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRASEK",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.