Individual provider Active NPI

Dawn Fanning, LMSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1861124109
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06659 Issued in KS
Practice address
7807 E Funston St
Wichita, KS 67207-3123
Phone
(316) 636-1188
Fax
(316) 636-1190
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 06659 KS Primary

Addresses

Primary practice location

7807 E Funston St
Wichita, KS 67207-3123

Mailing address

7807 E Funston St
Wichita, KS 67207-3123
Phone (316) 636-1188

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
I20250114003862 KS Practitioner - Clinical Social Worker 8325576614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7807 E Funston St
Wichita, KS 67207-3123
Phone (316) 636-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06659KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Fanning Therapy LLC Social Worker CurrentSince Dec 8, 2024 Accepting new patients
Soma Recovery LLC Past Accepting new patients

Locations

7807 E Funston St
Wichita, KS 67207
Phone (316) 636-1188

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1861124109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188",
            "fax_number": "316-636-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188",
            "fax_number": "316-636-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "DAWN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.