Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larry R Nussbaum, LSCSW

Individual provider Clinical Social Worker · NPI 1235116575

Larry R Nussbaum, LSCSW is a Clinical Social Worker in Wichita, Kansas. Qualified in 1977, 49 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Kansas.

Years since qualifying
49
Licensed in
KS
In the registry since
2005
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Practice location Address checks out

547 N Roosevelt St
Wichita, KS 67208-3273
Phone: (316) 641-4925
Fax: (316) 684-5448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0858 (KS)

Record details

NPI number1235116575
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Wichita