MR. KEVIN E HARTLEY (NPI# 1780635177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780635177 |
| Entity Type | Individual |
| Full Name | MR. KEVIN E HARTLEY |
| Credential | LMSW |
| Practice Address |
940 N Waco Ave Wichita KS 67203-3947 |
| Mailing Address |
635 N Main St Wichita KS 67203-3602 |
| Practice Telephone | 3166607550 |
| Practice Fax Number | 3163838241 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3163837925 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1835 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PREFERRED PLUS OF KANSAS | 4217 | 01 |
| KS | BLUE CROSS BLUE SHIELD | 389922 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124495395 | Kevin Hartley | Massage Therapist | 4002 231st Pl Sw, Mountlake Terrace, WA 98043-5019 | 2015-08-24 |
| 1396375952 | Kevin Thomas Hartley | Nurse Practitioner | 6213 Snider Rd Ste A, Mason, OH 45040-2643 | 2020-01-23 |
| Street Address |
940 N WACO AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841713534 | Amy Irsik | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-07-25 |
| 1215457304 | Esther N Osornio | Social Worker | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-06-21 |
| 1619406428 | Lori Ann Smith | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-06-06 |
| 1881123719 | Amber Di Napoli | Social Worker | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-06-05 |
| 1568912616 | Kathleen Miller | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2016-10-12 |
| 1447704044 | Erin Johnson | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2016-08-11 |
| 1922472257 | Michael Benitez | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2015-11-24 |
| 1356710883 | Judith Whetzel | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2015-09-15 |
| 1770950602 | Lana Koker | Registered Nurse | 940 N Waco Ave, Wichita, KS 67203-3947 | 2015-08-26 |
| 1538567771 | Kelly Pfeiffer | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| 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 |
| Find all providers in WICHITA | ||||
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| 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.