Eloise J Pankratz, Lscsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4665 Issued in KS

Legal business name

ELOISE J PANKRATZ, LSCSW, LLC

Practice address

1143 S Governeour Rd
Wichita, KS 67207-2812

Phone

(316) 772-2000

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Eloise J Pankratz, LSCSWNPI 1336379130

Title

Lscsw

Phone

(316) 772-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eloise J Pankratz, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1336379130
  Medicare reassignment NPD Authorized official
• Susan Dutcher, PSYD, T-LP, LMFT

  • Clinical Psychologist
  • Mulvane, KS
  • NPI 1861683294
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861922809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 S GOVERNEOUR RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072812",
            "telephone_number": "316-772-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 S GOVERNEOUR RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072812",
            "telephone_number": "316-772-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOISE J PANKRATZ, LSCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANKRATZ",
        "authorized_official_first_name": "ELOISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LSCSW",
        "authorized_official_telephone_number": "316-772-2000",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ellis, LMSW-T
• Stephanie Ellzey, LSCSW
• Carson Elman
• Mohamed Abdelghany Mohamed a Elmassry, MD
• Joshua Gerard Elmer, ATC
• Jacob Elpers, AT
• Hamsa Elsayed, MD
• Bob Elsbernd, R.PH.
• Mohamed Farouk Elsisy
• Bruce C Elson, MD

• 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.