Individual provider Active NPI

Kenneth W Barker, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1801229323
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4880 Issued in KS
Practice address
555 E. Kellogg Drive
Wichita, KS 67218-1607
Phone
(316) 685-2211
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 4880 KS Primary

Addresses

Primary practice location

555 E. Kellogg Drive
Wichita, KS 67218-1607

Mailing address

6700 W Central Ave Ste 106
Wichita, KS 67212-6302
Phone (316) 945-5200

Other practice location 1

6700 W Central Ave Ste 106
Wichita, KS 67212-6302
Phone (316) 945-5200

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
I20190722001593 KS Practitioner - Clinical Social Worker 7315273810 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6700 W Central
Suite 106
Wichita, KS 67212-6302

6700 W Central Ave
Suite 106
Wichita, KS 67212-6302
Phone (316) 945-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4880KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1801229323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W CENTRAL AVE STE 106",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126302",
            "telephone_number": "316-945-5200",
            "fax_number": "316-945-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E. KELLOGG DRIVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181607",
            "telephone_number": "316-685-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 W Central Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672126302",
            "country_code": "US",
            "telephone_number": "316-945-5200",
            "fax_number": "316-945-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.