Nicole Renee Fenoglio, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4700 Issued in KS

Practice address

2420 N Woodlawn Blvd Ste 300
Wichita, KS 67220-3960

Phone

(316) 347-7157

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Air Capital Counseling and Assessment LLCGroup PAC ID 7012440324, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Air Capital Counseling & Assessment, LLC

  • Psychologist
  • Wichita, KS
  • NPI 1619510294

  Clinical, KS

  Medicare reassignment Care Compare group NPD
• Creating Miracles LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1447134093

  Clinical, KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1861911273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N WOODLAWN BLVD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203960",
            "telephone_number": "316-347-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N WOODLAWN BLVD STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203960",
            "telephone_number": "316-347-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENOGLIO",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Fenlason
• Fenn Chiropractic
• Erin Nicole Fenn
• Jeffrey Fenn, D.C.
• Robin Ann Fenn, M.A., CCC-SLP
• Sydney Ferarro
• Dawn Ferguson, CPTA
• Sierra Ferguson, PA
• Sondra Kay Ferguson, APRN
• Fernanda Fernanda Reyes

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.

Verify at the official NPI Registry.