Individual provider Active NPI

Vicky Ann Walters, MSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1881895019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 1282 Issued in KS
Practice address
2513 SW Ashworth PL
Topeka, KS 66614-2505
Phone
(785) 213-2342
Fax
(785) 233-6707
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LSCSW 1282 KS Primary

Addresses

Primary practice location

2513 SW Ashworth PL
Topeka, KS 66614-2505

Mailing address

2513 SW Ashworth PL
Topeka, KS 66614-2505
Phone (785) 213-2342

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
I20050509000748 KS Practitioner - Clinical Social Worker 3072553007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Connections, Inc.Group PAC ID 2961580865, 2 clinicians

Practice addresses (Care Compare)

305 SE 17TH St
Suite C
Topeka, KS 66607-1266
Phone (785) 213-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW 1282KSMDClinical Social Worker
1282KSMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Connections Clinical CurrentSince Sep 1, 1995 Accepting new patients
Life Connections, Inc. Clinical CurrentSince Sep 1, 1995 Accepting new patients

Locations

305 SE 17th St
Ste C
Topeka, KS 66607
Phone (785) 213-2342

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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881895019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SW ASHWORTH PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142505",
            "telephone_number": "785-213-2342",
            "fax_number": "785-233-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 SW ASHWORTH PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142505",
            "telephone_number": "785-213-2342",
            "fax_number": "785-233-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "VICKY",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.