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Killian James Derusha , LMSW

Social Worker β€’ Lawrence, KS

Active NPI 1851811756 Individual Practitioner Male Practitioner
Practice location in NPPES

1311 Wakarusa Dr Ste 2100
Lawrence, KS 660494775

Call 7854247770 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1311 Wakarusa Dr Ste 2100

Lawrence, KS 660494775

Telephone 7854247770
Fax 7858432219
Organization at the Same NPPES Address or Phone
Dbt Center Of Lawrence And Kansas City Llc Facility NPI 1245717826

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lawrence, KS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Killian Derusha as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lawrence and Kansas

165 active clinicians are listed under Social Worker with a practice address in Lawrence, KS (2,575 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lawrence

0.6% of these 165 clinicians have the CMS telehealth indicator.

2.4% of these 165 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-27
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES KS 10470

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
3004349890002 (KS)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1307 Massachusetts St

Lawrence, KS 660443431

Phone: 7854247770

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Elizabeth Chao , LSCSW

Social Worker - Clinical

NPI 1659342541
Cora Franklin , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134483662

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Carol Kummer , LSCSW, LCAC

Social Worker - Clinical

NPI 1093041105
Finnian Mccullough , ARNP, MS, BC

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1295809192

Advanced Registered Nurse Practitioner, Master of Science, BC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 27, 2022

Registered at 1311 WAKARUSA DR STE 2100, LAWRENCE, KS 660494775 (Tel: 7854247770)

πŸ“
Updated Business Mailing Address October 27, 2022

Registered at 1311 WAKARUSA DR STE 2100, LAWRENCE, KS 660494775

βœ…
NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2017

Registered at 200 MAINE STREET, SUITE A, LAWRENCE, KS 66044 (Tel: 7858439192)

πŸ“
Business Mailing Address (Initial Record) June 21, 2017

Registered at 200 MAINE ST STE A, LAWRENCE, KS 660441396 (Tel: 7854234284)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2017

Recorded as KILLIAN DERUSHA, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Social Worker (license number reported to NPPES: KS 10470)

🟒
Initial NPI Registration & Enumeration June 21, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1851811756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2017
Last Update: October 27, 2022
Sole Proprietor: No

Other Social Workers in Lawrence

Healthcare providers in Lawrence

Mailing Address

1311 Wakarusa Dr Ste 2100

Lawrence, KS 660494775

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.