Individual provider Active NPI

Lacy Jean Kerr, LMSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1780843631
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6668 Issued in KS
Practice address
1365 N Custer St
Wichita, KS 67203-6634
Phone
(316) 942-4261
Fax
(316) 943-9995
NPI assigned
Jun 5, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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 6668 KS Primary

Addresses

Primary practice location

1365 N Custer St
Wichita, KS 67203-6634

Mailing address

1365 N Custer St
Wichita, KS 67203-6634
Phone (316) 942-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401000449 KS Practitioner - Clinical Social Worker 3072036094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1999 N Amidon Ave
Suite 208
Wichita, KS 67203-2123
Phone (316) 440-4291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6668KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lacy J Kerr, Lscsw, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1999 N Amidon Ave
Ste 208
Wichita, KS 67203
Phone (316) 440-4288

Organizations & group practices 1

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1780843631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 N CUSTER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672036634",
            "telephone_number": "316-942-4261",
            "fax_number": "316-943-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 N CUSTER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672036634",
            "telephone_number": "316-942-4261",
            "fax_number": "316-943-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "LACY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.