Individual provider Active NPI

Deborah Myers, LMAC, LSCSW

  • Clinical Social Worker
  • Great Bend, KS
National Provider Identifier
1891117917
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4511 Issued in KS
Practice address
2008 11TH St
Great Bend, KS 67530-4419
Phone
(800) 423-1342
Fax
(785) 628-3113
NPI assigned
Jan 8, 2014
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 185 KS
Clinical Social Worker 1041C0700X 4511 KS Primary

Addresses

Primary practice location

2008 11TH St
Great Bend, KS 67530-4419

Mailing address

509 E Elm St
Salina, KS 67401-2353
Phone (800) 423-1342

Other practice location 1

5097 W Cloud St
Salina, KS 67401-9743
Phone (800) 423-1342

Other practice location 2

3730 E Lincoln St
Wichita, KS 67218-2008
Phone (800) 423-1342

Other practice location 3

645 E Iron Ave Ste C
Salina, KS 67401-2697
Phone (800) 423-1342

Other practice location 4

1121 N 5th St
Kansas City, KS 66101-2305
Phone (800) 423-1342

Other names 1

  • Deborah Dawson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4511KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Community and Residential Services, Inc Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1891117917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304419",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5097 W Cloud St",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674019743",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3730 E Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672182008",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Iron Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674012697",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661012305",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "DEBORAH",
        "credential": "LMAC, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DAWSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.