Pamela Beranek, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05290 Issued in KS

Practice address

123 N Tyler Rd Ste 300
Wichita, KS 67212-3726

Phone

(316) 869-2230

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Pamela Tinoco-Carreon Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1821532854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123726",
            "telephone_number": "316-869-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123726",
            "telephone_number": "316-869-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672024304",
            "country_code": "US",
            "telephone_number": "316-660-9600",
            "fax_number": "316-660-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERANEK",
        "first_name": "PAMELA",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05290",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "TINOCO-CARREON",
            "credential": "LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Byron Obie Benson, LSCSW
• Peyton Benson
• Stephen L Benson, PSYD
• John A Benusis
• Leslie Benvin, ARNP
• Sandra K Berg, LPC LCPC
• Katherine Collette Bergamasco, CLVT
• Sarah Anne Bergeson, LPC, LCPC
• Renee Lee Berggren, MA CCC-SLP
• Bergkamp Chiropractic LLC

• All providers in Wichita, KS
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.