Active NPI
Julie Marie Meyer Patry, LCSW, MSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1811200645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 889
- Practice address
- 5500 W Kellogg Dr
Wichita, KS 67209-2345 - Phone
- (316) 308-0423
- NPI assigned
- Jul 21, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7633 | KS | |
| Clinical Social Worker | 1041C0700X | 889 | AK | Primary |
Addresses
Primary practice location
5500 W Kellogg Dr
Wichita, KS 67209-2345
Mailing address
PO Box 75194
Wichita, KS 67275-0194
Phone (316) 308-0423
Other names 1
- Julie Marie Meyer
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 |
|---|---|---|---|
| 7633 | KS | MD | Social Worker |
| 889 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1811200645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75194",
"city": "WICHITA",
"state": "KS",
"postal_code": "672750194",
"telephone_number": "316-308-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 W KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672092345",
"telephone_number": "316-308-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRY",
"first_name": "JULIE",
"middle_name": "MARIE MEYER",
"credential": "LCSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7633",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MEYER",
"middle_name": "MARIE",
"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 Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.