KILLIAN JAMES DERUSHA (NPI# 1851811756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851811756 |
| Entity Type | Individual |
| Full Name | KILLIAN JAMES DERUSHA |
| Other Name | SIERRA DESTINY DERUSHA |
| Credential | LMSW |
| Practice Address |
200 Maine Street Suite A Lawrence KS 66044 |
| Mailing Address |
200 Maine St Ste A Lawrence KS 66044-1396 |
| Practice Telephone | 7858439192 |
| Practice Fax Number | 7858432219 |
| Mailing Telephone | 7854234284 |
| Mailing Fax Number | 7858432219 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 10470 | KS | Behavioral Health & Social Service Providers |
| Street Address |
200 MAINE STREET SUITE A |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992874176 | Lawrence-douglas County Health Dept | Public Health or Welfare | 200 Maine Street, Suite B, Lawrence, KS 66044 | 2006-11-06 |
| 1831396944 | Douglas County Visiting Nurses Association, Inc. | Hospice Care, Community Based | 200 Maine Street, Suite C, Lawrence, KS 66044 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| 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 |
|---|---|---|---|---|
| 1598382129 | Shannon Conover | Social Worker | 3601 Clinton Pkwy Apt C201, Lawrence, KS 66047-2230 | 2020-06-30 |
| 1255965778 | Jerika T Santiago | Social Worker | 360 Merrimack St Ste 355, Lawrence, MA 01843-1740 | 2020-02-24 |
| 1114569720 | Ashleigh Aurelia Armstrong Pope | Social Worker | 512 E 9th St, Lawrence, KS 66044-2631 | 2019-10-15 |
| 1548801434 | Personalized Solutions LLC | Social Worker | 901 Kentucky St Ste 108, Lawrence, KS 66044-2853 | 2019-10-02 |
| 1871159186 | Anna Bucharena Mccune | Social Worker | 2601 W 6th St Ste C, Lawrence, KS 66049-4319 | 2019-05-13 |
| 1063075281 | Maegan Elizabeth Ballew | Social Worker | 2600 W 6th St Apt J3, Lawrence, KS 66049-4322 | 2019-04-15 |
| 1457815862 | Amanda Mardel Gwirtz Nestler | Social Worker | 2010 University Dr, Lawrence, KS 66044-4556 | 2019-01-30 |
| 1326502501 | Toby Lazerson | Social Worker | 135 Butler Street, Bruce School, Lawrence, MA 01841 | 2019-01-22 |
| 1245730506 | Megan Heidrich | Social Worker | 838 Silver Rain Rd, Lawrence, KS 66049-5034 | 2018-02-13 |
| 1184130247 | Julian Villalobos | Social Worker | 1605 Davis Rd, Lawrence, KS 66046-3233 | 2017-12-26 |
| Find all providers in LAWRENCE | ||||
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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.