Active NPI
Aerica McIntosh
- Social Worker
- Wichita, KS
National Provider Identifier
1780409706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13926
- Practice address
- 9415 E Harry St Ste 800
Wichita, KS 67207-5084 - Phone
- (316) 358-1781
- NPI assigned
- Nov 15, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13926 | KS | Primary |
Addresses
Primary practice location
9415 E Harry St Ste 800
Wichita, KS 67207-5084
Mailing address
8607 W Thurman St Apt 4
Wichita, KS 67212-5824
Phone (316) 730-3824
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 |
|---|---|---|---|
| 13926 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1780409706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 W THURMAN ST APT 4",
"city": "WICHITA",
"state": "KS",
"postal_code": "672125824",
"telephone_number": "316-730-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 E HARRY ST STE 800",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075084",
"telephone_number": "316-358-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "AERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 15, 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.