Organization Active NPI

Laurie Moffitt, Lscsw, LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1962828434
Registry record updated Mar 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4298 Issued in KS
Legal business name
LAURIE MOFFITT, LSCSW, LLC
Practice address
1999 N Amidon Ave
Suite 210
Wichita, KS 67203-2121
Phone
(316) 831-0999
Fax
(316) 831-0998
NPI assigned
Mar 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2014

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

Authorized official

Name
Lauretta J Moffitt, LSCSW
Title
Owner/Clinician
Phone
(316) 831-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4298 KS Primary

Addresses

Primary practice location

1999 N Amidon Ave
Suite 210
Wichita, KS 67203-2121

Mailing address

1999 N Amidon Ave
Suite 210
Wichita, KS 67203-2121
Phone (316) 831-0999

National Provider Directory

National Provider Directory

Locations

1999 N Amidon Ave
Ste 20
Wichita, KS 67203
Phone (316) 440-4307

1999 N Amidon Ave
Ste 210
Wichita, KS 67203
Phone (316) 831-0999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1962828434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE",
            "address_2": "SUITE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032121",
            "telephone_number": "316-831-0999",
            "fax_number": "316-831-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE",
            "address_2": "SUITE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032121",
            "telephone_number": "316-831-0999",
            "fax_number": "316-831-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE MOFFITT, LSCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "LAURETTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "316-831-0999",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.