Active NPI
Brian D King, MSW
- Social Worker
- Wichita, KS
National Provider Identifier
1831389055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4341
- Practice address
- 800 E 1St St N
Ste 210
Wichita, KS 67202-2740 - Phone
- (620) 326-7448
- NPI assigned
- Jul 25, 2007
- Last updated
- Sep 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4341 | KS | Primary |
Addresses
Primary practice location
800 E 1St St N
Ste 210
Wichita, KS 67202-2740
Mailing address
PO Box 1060
Derby, KS 67037-1060
Phone (316) 833-3823
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 |
|---|---|---|---|---|
| I20140708000931 | KS | Practitioner - Clinical Social Worker | 6406071414 | Practice locations: Wichita, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
800 E 1St St N
Suite 210
Wichita, KS 67202-2740
Phone (316) 833-3823
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1831389055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1060",
"city": "DERBY",
"state": "KS",
"postal_code": "670371060",
"telephone_number": "316-833-3823",
"fax_number": "316-869-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 1ST ST N",
"address_2": "STE 210",
"city": "WICHITA",
"state": "KS",
"postal_code": "672022740",
"telephone_number": "620-326-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "BRIAN",
"middle_name": "D",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "4341",
"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 Sep 23, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.