RICHARD WALLER (NPI# 1417439233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417439233 |
| Entity Type | Individual |
| Full Name | RICHARD WALLER |
| Credential | LMSW |
| Practice Address |
4155 E Harry St Wichita KS 67218-3725 |
| Mailing Address |
509 E Elm St Salina KS 67401-2353 |
| Practice Telephone | 8004231342 |
| Practice Fax Number | 7856283113 |
| Mailing Telephone | 8004231342 |
| Mailing Fax Number | 7856283113 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 10886 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201211280A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821001041 | Richard Edwin Waller | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-08-15 |
| 1871541862 | Richard Edmund Waller | Specialist | 14355 Sommerville Ct, Midlothian, VA 23113 | 2006-05-04 |
| 1689661944 | Richard R. Waller Jr. | Chiropractor | 563 Main St, Bolton, MA 01740-1300 | 2005-10-03 |
| Street Address |
4155 E HARRY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063455525 | Jennifer Voth | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2006-06-13 |
| 1063021871 | Juan Francisco Coy Teni | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2020-07-28 |
| 1790393510 | Jacob Mizell | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2020-07-17 |
| 1780223347 | Jessie Rojas | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-12-31 |
| 1245881044 | Jaymes Michael Stewart | Marriage & Family Therapist | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-09-23 |
| 1578025763 | Michele Hansen | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-04-05 |
| 1538635644 | Jacob Kordonowy | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-10-16 |
| 1164907663 | Christa Gosnell | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-10-01 |
| 1902386220 | Valerie Lane Kabutu | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-08-16 |
| 1255835831 | Chris Chamberlain | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| 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.