Individual provider Active NPI

Jennifer Keane, LMSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1942495742
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06889 Issued in KS
Practice address
1521 S Sedgwick St
Wichita, KS 67213-2920
Phone
(316) 413-1534
Fax
(833) 485-5149
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 06889 KS Primary

Addresses

Primary practice location

1521 S Sedgwick St
Wichita, KS 67213-2920

Mailing address

1521 S Sedgwick St
Wichita, KS 67213-2920
Phone (316) 413-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • 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
I20250830000147 KS Practitioner - Clinical Social Worker 0042711020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric and Counseling Associates LLCGroup PAC ID 6507881422, 41 clinicians

Practice addresses (Care Compare)

1855 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06889KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Family Counselors LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1855 N Webb Rd
Wichita, KS 67206
Phone (316) 634-0060

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1942495742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S SEDGWICK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132920",
            "telephone_number": "316-413-1534",
            "fax_number": "833-485-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S SEDGWICK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132920",
            "telephone_number": "316-413-1534",
            "fax_number": "833-485-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.