Individual provider Active NPI

Robyn Ann Haenisch, LSCSW

  • Clinical Social Worker
  • Edgerton, KS
National Provider Identifier
1982843843
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1819 Issued in KS
Practice address
34700 W Highway 56
Edgerton, KS 66021-2234
Phone
(913) 406-2257
Fax
(913) 893-6918
NPI assigned
Feb 16, 2009
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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 1819 KS Primary

Addresses

Primary practice location

34700 W Highway 56
Edgerton, KS 66021-2234

Mailing address

34700 W Highway 56
Edgerton, KS 66021-2234
Phone (913) 406-2257

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1819KSMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1982843843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34700 W HIGHWAY 56",
            "city": "EDGERTON",
            "state": "KS",
            "postal_code": "660212234",
            "telephone_number": "913-406-2257",
            "fax_number": "913-893-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34700 W HIGHWAY 56",
            "city": "EDGERTON",
            "state": "KS",
            "postal_code": "660212234",
            "telephone_number": "913-406-2257",
            "fax_number": "913-893-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAENISCH",
        "first_name": "ROBYN",
        "middle_name": "ANN",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgerton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.