MR. LARRY L. SMITH (NPI# 1841455748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841455748 |
| Entity Type | Individual |
| Full Name | MR. LARRY L. SMITH |
| Credential | LSCSW LCAC |
| Practice Address |
904 S Seneca St Wichita KS 67213-4553 |
| Mailing Address |
524 N Baehr St Wichita KS 67212-2220 |
| Practice Telephone | 3166192987 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AAPS CERTIFICATI | KS | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
KS | Behavioral Health & Social Service Providers | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4190 | KS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 524 N Baehr St, Wichita, KS 672122220 | 3166172987 | |
| 933 N Topeka St, Wichita, KS 672143620 | 3166172987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159196 | Larry Dale Smith | Counselor | 205 Lelia Ln, Dobson, NC 27017-8767 | 2018-10-01 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1033572946 | Larry Smith | Specialist | 5234 Jarman St, Abilene, TX 79601-7002 | 2016-03-30 |
| 1841655909 | Larry Leroy Smith | Counselor | 490 N 500 E, American Fork, UT 84003-1872 | 2015-12-16 |
| 1174995138 | Larry Smith Jr. | Counselor | 6015 Hearne Avenue, Shreveport, LA 71108 | 2015-10-29 |
| 1275905051 | Larry Joseph Smith Jr. | Counselor | 827 Old Spanish Trl, Bay St Louis, MS 39520-2204 | 2015-10-20 |
| 1952690232 | Larry J Smith | Counselor | 114 N Saint Clair Abrams Ave, Tavares, FL 32778-3258 | 2011-04-07 |
| 1215171475 | Larry Eugene Smith Jr. | Physical Therapy Assistant | 1612 Oak St, Kenova, WV 25530-1118 | 2009-04-30 |
| 1104078708 | Larry Darnell Smith | Physical Therapist | 914 Tamarack Ave, Tallahassee, FL 32303-4649 | 2008-10-15 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| Street Address |
904 S SENECA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67213-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111965 | Kelsey Lynn Riefenhauser | Specialist/Technologist, Other | 3100 Mccormick, Wichita, KS 67213 | 2017-01-25 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1134564024 | Valerie Christine Wondra | Physical Therapist | 301 S Meridian Ave, Wichita, KS 67213 | 2013-05-06 |
| 1942597505 | Carmen Maria Aguilar | Social Worker | 2312 S Meridian Ave Ste 102, Wichita, KS 67213 | 2011-07-05 |
| 1245568625 | Joanne Velez | Home Health | 711 S Main, Wichita, KS 67213 | 2009-11-24 |
| 1093958712 | Adaptive Living, LLC | Occupational Therapist | 2423 W. Maple, Ste B, Wichita, KS 67213 | 2009-04-10 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1275595134 | Ronald Dean Fisher | Optometrist | 2635 W Douglas, Wichita, KS 67213 | 2006-04-05 |
| 1083676936 | Wichita Optometry, P.a. | Optometrist | 2635 W Douglas Ave, Wichita, KS 67213 | 2006-04-05 |
| 1427361385 | Ryan Carl Emrick | Optometrist | 1202 W Maple St, Wichita, KS 67213 | 2010-07-21 |
| Find all providers in zip 67213 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1679126965 | Frances R Waldren | Social Worker | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-07-17 |
| 1558825695 | Jamaal M Jones | Social Worker | 1005 S Glendale St, Wichita, KS 67218-3203 | 2019-01-23 |
| 1285101311 | Tasha L. Parker LLC | Social Worker | 5517 Plaza Ln, Wichita, KS 67208-4154 | 2018-10-26 |
| 1073004941 | Gloria Hegge | Social Worker | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2018-05-25 |
| 1255838900 | Melanie A Miller Lscsw LLC | Social Worker | 1900 N Amidon Ave Ste 207, Wichita, KS 67203-2140 | 2018-04-10 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1861911273 | Nicole Renee Fenoglio | Social Worker | 3510 W Central Ave Ste 800, Wichita, KS 67203-4926 | 2017-09-18 |
| 1861922809 | Eloise J Pankratz, Lscsw, LLC | Social Worker | 1143 S Governeour Rd, Wichita, KS 67207-2812 | 2017-06-13 |
| 1629515051 | Cassandra M Hornbaker | Social Worker | 2307 N Vinegate Ct, Wichita, KS 67226-3655 | 2017-01-24 |
| 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.