JACK FORCK


Address: 8911 E Orme St, Suite A, Wichita, KS 67207-2423
Phone: 3166867884

JACK FORCK (NPI# 1679953301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679953301
Entity Type Individual
Full Name JACK FORCK
Credential LMSW
Practice Address 8911 E Orme St
Suite A
Wichita
KS 67207-2423
Practice Telephone 3166867884
Practice Fax Number 3166860036
Mailing Telephone 3166867884
Mailing Fax Number 3166860036
Enumeration Date 2015-06-08
Last Update Date 2015-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 9575 KS Behavioral Health & Social Service Providers

Office Location

Street Address 8911 E ORME ST
SUITE A
City WICHITA
State KS
Zip Code 67207-2423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851486294 Ralph Bharati Psychiatry & Neurology 8911 E Orme St, Suite A, Wichita, KS 67207 2006-10-03
1861746109 Tracie Davis Counselor 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2012-11-08
1659625804 Wallace E Harvey Counselor 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2012-11-08
1952650905 Shauna Marie Meier Social Worker 8911 E Orme St, Suite D, Wichita, KS 67207-2423 2012-09-06
1073714325 Ralph Bharati, Md,pa Clinical Medical Laboratory 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2007-05-31
1265584403 Cynthia Mcmillin Registered Nurse 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2007-01-17
1295886984 Ralph Bharati, Md,pa Clinic/Center 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2007-01-16
1104977891 Ralph Bharati, Md, Pa Clinic/Center 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2007-01-16
1982783916 Ernest Castro Marriage & Family Therapist 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2006-11-02
1427135771 Anita M Andersen Psychiatry & Neurology 8911 E Orme St, Suite A, Wichita, KS 67207-2423 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225527518 Transition Adult Home Day Training, Developmentally Disabled Services 7422 E Lincoln St, Wichita, KS 67207 2018-05-02
1558734012 Sonnya Natria Adams Point of Service 8722 Longlake Circle, Wichita, KS 67207 2015-11-05
1245623677 Costco Wholesale Corporation Pharmacy 9700 E. Kellogg, Wichita, KS 67207 2015-03-10
1528468105 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 2014-09-02
1962819110 Lauren Carrillo Marriage & Family Therapist 111 S Whittier St Ste 1500, Wichita, KS 67207 2014-07-21
1962827170 Providence Home Health & Hospice LLC. Home Health 9415 E Harry St Ste 703, Wichita, KS 67207 2014-02-25
1396089892 Christina Rhinesmith Speech-Language Pathologist 12618 E Willowgreen Circle, Wichita, KS 67207 2012-11-21
1528360047 Compassionate Care Home Health Agency Home Health 9152 Funston Ct., Wichita, KS 67207 2010-12-04
1477769503 Patricia Marie Sloop Social Worker 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 2007-05-15
1174738298 Jarrod S Steffan Psychologist 9920 East Harry, Wichita, KS 67207 2007-05-11
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093313983 Mary Carol Ward Social Worker 333 E English St, Wichita, KS 67202-4320 2020-10-13
1992318729 Meaghan Ann Mackey Social Worker 3725 W Angel St, Wichita, KS 67217-7029 2020-08-31
1184248619 Shawn M Dixon Social Worker 322 S Laura Ave, Wichita, KS 67211-1517 2020-06-01
1609425735 Davon J Anderson Social Worker 2549 S Lori St, Wichita, KS 67210-1914 2019-09-11
1750844163 Rachel Lynn Thomas Social Worker 5414 S Market St, Wichita, KS 67216-4901 2019-04-11
1972064418 Lisa Marie Harrison Social Worker 2922 N Spring Meadow Ct, Wichita, KS 67205-1659 2019-03-27
1366910838 Taryn Jewell Zweygardt Social Worker 315 N Hillside St Ste E, Wichita, KS 67214-4915 2018-11-02
1316433972 Christine Michelle Wagner Social Worker 807 N Waco Ave Ste 11, Wichita, KS 67203-3971 2018-07-07
1073021960 Lisa Michelle Smith Social Worker 1501 N Lynnhurst Ave, Wichita, KS 67212-1846 2018-01-13
1770095937 Rossilyn D Banks Social Worker 2305 N Somerset St Apt 201, Wichita, KS 67204-5747 2017-10-27
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City WICHITA
Zip Code 67207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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