Active NPI
Dawn Annjeanette Patterson, LSCSW
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1811700255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06571
- Practice address
- 57950 Leavenworth St BLDG 250
Wichita, KS 67221-3505 - Phone
- (316) 759-6300
- NPI assigned
- Jan 29, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06571 | KS | Primary |
Addresses
Primary practice location
57950 Leavenworth St BLDG 250
Wichita, KS 67221-3505
Mailing address
4417 E 61St St N
Kechi, KS 67067-9033
Phone (316) 214-9288
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 |
|---|---|---|---|
| 06571 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1811700255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 E 61ST ST N",
"city": "KECHI",
"state": "KS",
"postal_code": "670679033",
"telephone_number": "316-214-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57950 LEAVENWORTH ST BLDG 250",
"city": "WICHITA",
"state": "KS",
"postal_code": "672213505",
"telephone_number": "316-759-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "DAWN",
"middle_name": "ANNJEANETTE",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "06571",
"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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.