Individual provider · Type 1 NPI

Peter J. Ninemire, LSCSW, LCAC

Clinical Social Worker · Wichita, KS

NPI number 1790933943 Active

Practice location

714 S Hillside St
Wichita, KS 67211-3002

Fax (316) 295-4811

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X344 (KS)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Social Worker 104100000X6503 (KS)
Clinical Social Worker Primary 1041C0700X4326 (KS)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1790933943

Peter J. Ninemire, LSCSW, LCAC's National Provider Identifier is 1790933943, issued on Aug 29, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Aug 12, 2022.