Individual provider Active NPI

Jennifer Rachelle Nofire, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1760706857
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4345 Issued in KS
Practice address
920 N Tyler Rd Ste 104
Wichita, KS 67212-3267
Phone
(316) 619-4689
Fax
(866) 316-4467
NPI assigned
Mar 18, 2010
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 4345 KS Primary

Addresses

Primary practice location

920 N Tyler Rd Ste 104
Wichita, KS 67212-3267

Mailing address

1883 W 21St St N
Wichita, KS 67203-2104
Phone (316) 832-0277

Other names 1

  • Jennifer Gibson Former name

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
4345KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Achutha N. Reddy, M.D., P. a. Past Accepting new patients

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": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1760706857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032104",
            "telephone_number": "316-832-0277",
            "fax_number": "316-838-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N TYLER RD STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123267",
            "telephone_number": "316-619-4689",
            "fax_number": "866-316-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFIRE",
        "first_name": "JENNIFER",
        "middle_name": "RACHELLE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GIBSON",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 25, 2019; 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.