Individual provider Active NPI

Marcella J. Kille, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
National Provider Identifier
1831296581
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3862 Issued in KS
Practice address
101 E 1St Ave
Hutchinson, KS 67501-7147
Phone
(620) 921-1029
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3862 KS Primary
Social Worker 104100000X 5977 KS

Addresses

Primary practice location

101 E 1St Ave
Hutchinson, KS 67501-7147

Mailing address

10419 N Tobacco Rd
Hutchinson, KS 67502-8684
Phone (620) 921-1029

Other identifiers 1

IdentifierTypeStateIssuer
100098120AMedicaidKS

Other names 1

  • Marcella J. Ratzlaff Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5977KSMDSocial Worker
3862KSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1831296581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 N TOBACCO RD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675028684",
            "telephone_number": "620-921-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017147",
            "telephone_number": "620-921-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLE",
        "first_name": "MARCELLA",
        "middle_name": "J.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3862",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "5977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098120A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLA",
            "last_name": "RATZLAFF",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.