Active NPI
Timothy M Deweese, LMSW
- Social Worker
- Shawnee, KS
National Provider Identifier
1972623973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4385
- Practice address
- 6440 Nieman Rd
Shawnee, KS 66203-3326 - Phone
- (913) 962-9955
- Fax
- (913) 826-1589
- NPI assigned
- Mar 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4385 | KS | Primary |
Addresses
Primary practice location
6440 Nieman Rd
Shawnee, KS 66203-3326
Mailing address
6440 Nieman Rd
Shawnee, KS 66203-3326
Phone (913) 826-4022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098010B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4385 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1972623973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 NIEMAN RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662033326",
"telephone_number": "913-826-4022",
"fax_number": "913-962-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 NIEMAN RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662033326",
"telephone_number": "913-962-9955",
"fax_number": "913-826-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWEESE",
"first_name": "TIMOTHY",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-31",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "4385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098010B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.