DEIDRE A MANIS (LSCSW LCAC) – Clinical Social Worker, NPI 1023304193

DEIDRE A MANIS (LSCSW LCAC) is a healthcare provider. based in Wichita, Kansas. specializing in Clinical Social Worker. They hold the professional credentials LSCSW LCAC. They hold a License No. 607 (KS). The NPI Number for DEIDRE A MANIS (LSCSW LCAC) is 1023304193

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRE A MANIS (LSCSW LCAC)
NPI
1023304193
Phone
(316) 660-7500
Address
635 N MAIN ST
Enumeration Date
27 June 2011
Last Update Date
25 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166607540
Graduation Year
2011 (15 years ago)
PAC ID
4587988977
Group Practice PAC ID
2961304779
Professional Enrollment ID
I20150113000139
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:14State licenses:3Digital endpointsOther names

Provider Addresses for DEIDRE A MANIS (LSCSW LCAC)

  • 635 N MAIN ST

    WICHITA, KS 672033602

    Phone: (316) 660-7500

    Fax: (316) 660-1897

    Type: Location

  • 271 W 3RD ST STE 600

    WICHITA, KS 672021223

    Phone: (316) 660-7600

    Fax: (316) 941-5075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961304779View full group profile
NameSpecialtyState
Nurse PractitionerOK
-KS
Clinical Social WorkerKS
Nurse PractitionerKS
Marriage And Family TherapistKS
Mental Health CounselorKS
Clinical Social WorkerKS
Nurse PractitionerKS
P S Y C H I A T R YKS
Nurse PractitionerKS

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Frequently asked questions

Is there an official ID for DEIDRE A MANIS (LSCSW LCAC) in U.S. healthcare records?
The official identifier for DEIDRE A MANIS (LSCSW LCAC) is NPI 1023304193.
Would DEIDRE A MANIS (LSCSW LCAC) appear as active to a payer?
You can treat DEIDRE A MANIS (LSCSW LCAC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DEIDRE A MANIS (LSCSW LCAC)?
DEIDRE A MANIS (LSCSW LCAC) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is DEIDRE A MANIS (LSCSW LCAC) located near Wichita?
DEIDRE A MANIS (LSCSW LCAC) currently maps to Wichita, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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