Individual provider Active NPI

Sandie W Kreiser, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1881145498
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4788 Issued in KS
Practice address
920 N Tyler Rd
Ste 104
Wichita, KS 67212-3267
Phone
(316) 469-4543
Fax
(316) 636-7122
NPI assigned
Oct 18, 2016
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 9161 KS
Clinical Social Worker 1041C0700X 4788 KS Primary

Addresses

Primary practice location

920 N Tyler Rd
Ste 104
Wichita, KS 67212-3267

Mailing address

920 N Tyler Rd
Ste 104
Wichita, KS 67212-3267
Phone (316) 469-4543

Other practice location 1

2001 Claflin Rd
Manhattan, KS 66502-3415
Phone (785) 587-4300

Other identifiers 1

IdentifierTypeStateIssuer
201146020AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180529002519 KS Practitioner - Clinical Social Worker 8224393061 Reassigns benefits to 3 organizations
I20251215002913 OR Practitioner - Clinical Social Worker 8224393061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians
Options for Southern OregonGroup PAC ID 0941202006, 70 clinicians
Level LLCGroup PAC ID 0244634293, 26 clinicians

Practice addresses (Care Compare)

Wichita, KS 67216
Phone (415) 360-3348

1545 Harbeck Rd
Grants Pass, OR 97527-5605
Phone (541) 476-2373

345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9161KSMDSocial Worker
4788KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Apr 27, 2021 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Apr 27, 2021 Accepting new patients
Options for Southern Oregon CurrentSince Nov 4, 2025 Accepting new patients
Options for Southern Oregon CurrentSince Nov 4, 2025 Accepting new patients
Level LLC Clinical CurrentSince Apr 18, 2023 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

2001 Claflin Rd
Manhattan, KS 66502

345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110

9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110

1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109

1545 Harbeck Rd
Grants Pass, OR 97527
Phone (541) 479-2371

200 Beatty St
Medford, OR 97501
Phone (541) 414-0914

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1881145498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N TYLER RD",
            "address_2": "STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123267",
            "telephone_number": "316-469-4543",
            "fax_number": "316-636-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N TYLER RD",
            "address_2": "STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123267",
            "telephone_number": "316-469-4543",
            "fax_number": "316-636-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Claflin Rd",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023415",
            "country_code": "US",
            "telephone_number": "785-587-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREISER",
        "first_name": "SANDIE",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9161",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201146020A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.