Active NPI
Regina Hafner-Stout, LSCSW
- Clinical Social Worker
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06239
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231117001341 | KS | Practitioner - Clinical Social Worker | 5395192074 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06239 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sedgwick | Current | Accepting new patients | |
| County of Sedgwick | Current | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current | Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
KS
-
- Land Ambulance
- Wichita, KS
- NPI 1548097165
-
- Addiction (Substance Use Disorder) Counselor
- Wichita, KS
- NPI 1376624775
-
- Community/Behavioral Health Agency
- Wichita, KS
- NPI 1982351706
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.