Individual provider Active NPI

Robert L Queen, LSCSW, LAC

  • Clinical Social Worker
  • Parsons, KS
National Provider Identifier
1891258695
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06212 Issued in KS
Practice address
1730 Belmont Ave
Parsons, KS 67357-4229
Phone
(620) 421-3770
Fax
(620) 421-0665
NPI assigned
Apr 9, 2019
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1630 KS
Social Worker 104100000X 12106 KS
Clinical Social Worker 1041C0700X 06212 KS Primary

Addresses

Primary practice location

1730 Belmont Ave
Parsons, KS 67357-4229

Mailing address

1730 Belmont Ave
Parsons, KS 67357-4229
Phone (620) 421-3770

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
I20231016003485 KS Practitioner - Clinical Social Worker 1759736465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Labette Center for Mental Health Services IncorporatedGroup PAC ID 1254234073, 9 clinicians

Practice addresses (Care Compare)

1730 Belmont Ave
Parsons, KS 67357-4229
Phone (620) 421-3770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12106KSMDSocial Worker
06212KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Labette Center for Mental Health Services Incorporated CurrentSince Oct 2, 2023 Accepting new patients

Locations

1730 Belmont Ave
Parsons, KS 67357
Phone (620) 421-3770

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1891258695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BELMONT AVE",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574229",
            "telephone_number": "620-421-3770",
            "fax_number": "620-421-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BELMONT AVE",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574229",
            "telephone_number": "620-421-3770",
            "fax_number": "620-421-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "LSCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "1630",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

Verify at the official NPI Registry.