Individual provider Active NPI

Angie Lynn, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1851319263
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3578 Issued in KS
Practice address
123 N Tyler Rd
Wichita, KS 67212-3713
Phone
(316) 461-1686
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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 3578 KS Primary

Addresses

Primary practice location

123 N Tyler Rd
Wichita, KS 67212-3713

Mailing address

123 N Tyler Rd
Wichita, KS 67212-3713
Phone (316) 461-1686

Other names 1

  • Angie Cook Former name

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
I20050930000797 KS Practitioner - Clinical Social Worker 3072548783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 N Tyler Rd
Suite 300
Wichita, KS 67212-3726
Phone (316) 869-2226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angie Lynn, Lscsw, LLC Clinical CurrentSince Aug 1, 2012 Accepting new patients
Emberhope, Inc Clinical Past Accepting new patients

Locations

123 N Tyler Rd
Wichita, KS 67212
Phone (316) 461-1686

123 N Tyler Rd
Ste 300
Wichita, KS 67212
Phone (316) 869-2220

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1851319263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123713",
            "telephone_number": "316-461-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123713",
            "telephone_number": "316-461-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "ANGIE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.