Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851811756 Individual Practitioner Male Practitioner

Killian James Derusha , LMSW

Social Worker • Lawrence, KS

Professional Overview & Biography Verified Profile Summary

Killian Derusha, LMSW is a registered healthcare professional specializing in Social Worker in Lawrence, KS. Practice services are available at 1311 WAKARUSA DR STE 2100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1311 Wakarusa Dr Ste 2100

Lawrence, KS 660494775

Telephone 7854247770
Fax 7858432219
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lawrence, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
165 Specialists

Practicing in Lawrence, KS (2633 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-27
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3004349890002 (KS)

Secondary Practice Locations

1307 Massachusetts St

Lawrence, KS 660443431

Phone: 7854247770

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Angela Cristelli

Psychologist - Counseling

NPI 1033079900
Merrill Evans , LSCSW

Social Worker - Clinical

NPI 1073775540
Carol Kummer , LSCSW, LCAC

Social Worker - Clinical

NPI 1093041105
Juliet Nelson , LCP

Psychologist - Clinical

NPI 1093730111
Jonathan King , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104779610

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Cora Franklin , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134483662

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

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 27, 2022

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

📍
Updated Business Mailing Address October 27, 2022

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

NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2017

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

📍
Updated Business Mailing Address June 21, 2017

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

👤
Provider Name / Credentials Updated June 21, 2017

Recorded as KILLIAN DERUSHA, LMSW

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

Social Worker (License #10470 in KS)

🟢
Initial NPI Registration & Enumeration June 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1311 Wakarusa Dr Ste 2100

Lawrence, KS 660494775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.