Individual provider Active NPI

Janice Marie Parks, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1902155765
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4883 Issued in KS
Practice address
400 N Woodlawn St Ste 121
Wichita, KS 67208-4331
Phone
(316) 796-6035
Fax
(316) 712-6095
NPI assigned
Sep 7, 2012
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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 8614 KS
Clinical Social Worker 1041C0700X 4883 KS Primary

Addresses

Primary practice location

400 N Woodlawn St Ste 121
Wichita, KS 67208-4331

Mailing address

5321 Shadowridge CT
Wichita, KS 67220-4260
Phone (316) 204-9571

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
I20190204000030 KS Practitioner - Clinical Social Worker 3173860806 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 N Woodlawn St
Suite 121
Wichita, KS 67208-4331
Phone (316) 796-6035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8614KSMDSocial Worker
4883KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janice M. Parks, LMSW Social Worker PastSince Jan 29, 2015 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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1902155765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 SHADOWRIDGE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672204260",
            "telephone_number": "316-204-9571",
            "fax_number": "316-712-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WOODLAWN ST STE 121",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084331",
            "telephone_number": "316-796-6035",
            "fax_number": "316-712-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.