Deborah A Theis, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3568 Issued in KS

Practice address

1 N Main St
Ste 612
Hutchinson, KS 67501-5251

Phone

(620) 899-4696

Fax

(620) 662-6658

NPI assigned

Sep 7, 2006

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1801999370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "address_2": "STE 612",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015251",
            "telephone_number": "620-474-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "address_2": "STE 612",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015251",
            "telephone_number": "620-899-4696",
            "fax_number": "620-662-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Hutchinson Village)
• The Hutchinson Ophthalmology ASC LLC (Surgery Center of South Central Kansas)
• The Kroger Co (Kroger Pharmacy Atlanta Division)
• The Kroger Co (PPSRx)
• The Kroger Co (Kroger Pharmacy Great Lakes Division)
• Jerod William Theis, PHARMD
• John Francis Theis, LSCSW
• Therapeutic Counseling Services
• Therapeutic Counseling Services
• Therapy for Healthy Living, Inc.

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.