Active NPI
Jennifer Rachelle Nofire, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1760706857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4345
- 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, 2019
- 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 | 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
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 |
|---|---|---|---|
| 4345 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1265086235
-
dba Holistic Psychiatric Services
- Psychiatry Physician
- Wichita, KS
- NPI 1780800326
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.