Individual provider Active NPI

Regina Hafner-Stout, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1821441981
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06239 Issued in KS
Practice address
402 E 2ND St N
Ste B
Wichita, KS 67202-2504
Phone
(316) 660-7800
Fax
(316) 941-5060
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 06239 KS Primary

Addresses

Primary practice location

402 E 2ND St N
Ste B
Wichita, KS 67202-2504

Mailing address

934 N Water St
Wichita, KS 67203-3838
Phone (316) 660-7600

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
I20231117001341 KS Practitioner - Clinical Social Worker 5395192074 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06239KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sedgwick CurrentSince Nov 1, 2023 Accepting new patients
County of Sedgwick Current Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Mar 1, 2025 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Mar 1, 2025 Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

635 N Main St
Wichita, KS 67203
Phone (316) 660-7500

271 W 3rd St N
Ste 600
Wichita, KS 67202

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

934 N Water St
Wichita, KS 67203
Phone (316) 660-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1821441981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 N WATER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033838",
            "telephone_number": "316-660-7600",
            "fax_number": "316-941-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E 2ND ST N",
            "address_2": "STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022504",
            "telephone_number": "316-660-7800",
            "fax_number": "316-941-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER-STOUT",
        "first_name": "REGINA",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.