Individual provider Active NPI

Jessie Rojas, LMSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1780223347
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11565 Issued in KS
Practice address
889 N Maize Rd Ste 210
Wichita, KS 67212-4559
Phone
(316) 835-9967
Fax
(316) 669-4477
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 11565 KS Primary

Addresses

Primary practice location

889 N Maize Rd Ste 210
Wichita, KS 67212-4559

Mailing address

889 N Maize Rd Ste 210
Wichita, KS 67212-4559
Phone (316) 835-9967

Other identifiers 1

IdentifierTypeStateIssuer
201272430AMedicaidKS

Other names 1

  • Jessie Gonzalez 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
11565KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1780223347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 N MAIZE RD STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124559",
            "telephone_number": "316-835-9967",
            "fax_number": "316-669-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 N MAIZE RD STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124559",
            "telephone_number": "316-835-9967",
            "fax_number": "316-669-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "JESSIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201272430A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "GONZALEZ",
            "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 May 13, 2024; 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.