Individual provider Active NPI

Doris M Arwine, LSCSW

  • Clinical Social Worker
  • Garden City, KS
National Provider Identifier
1922038033
Registry record updated Jun 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KS1646 Issued in KS
Practice address
201 E Laurel St
Garden City, KS 67846-5538
Phone
(620) 272-9506
Fax
(620) 272-9833
NPI assigned
Jul 4, 2006
Last updated
Jun 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2008

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 KS1646 KS Primary

Addresses

Primary practice location

201 E Laurel St
Garden City, KS 67846-5538

Mailing address

201 E Laurel St
Garden City, KS 67846-5538
Phone (620) 272-9506

Other identifiers 1

IdentifierTypeStateIssuer
069480OtherKSBCBS

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
I20040907000745 KS Practitioner - Clinical Social Worker 7315913829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 E Laurel St
Garden City, KS 67846-5538
Phone (620) 272-9506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS1646KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In His Image Christian Counseling, LLC Clinical CurrentSince Jan 7, 2015 Accepting new patients

Locations

201 E Laurel St
Garden City, KS 67846
Phone (224) 201-6861

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214611200000",
    "number": "1922038033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LAUREL ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465538",
            "telephone_number": "620-272-9506",
            "fax_number": "620-272-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAUREL ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465538",
            "telephone_number": "620-272-9506",
            "fax_number": "620-272-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARWINE",
        "first_name": "DORIS",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "KS1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "069480",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.