RELIVE REHAB GROUP
NPI 1104170059
Social Worker - Clinical in Wichita, KS

Q: What is Relive Rehab Group's NPI number?

The NPI number for Relive Rehab Group is 1104170059. It was assigned to this organization in the NPPES registry on October 30, 2012.

Q: What is Relive Rehab Group's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 30, 2012

2020 N TYLER RD STE 112, WICHITA, KS 67212(316) 295-4591(316) 295-4713 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Relive Rehab Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RELIVE REHAB GROUP (NPI 1104170059) is a healthcare organization registered as a clinical in Wichita, Kansas and active in the NPI registry since October 2012. The organization lists Perry Young, Divisional Vice President, as its authorized official.

NPPES Registry Identity

NPI1104170059

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameRELIVE REHAB GROUP

Location Address2020 N TYLER RD STE 112Wichita, KS 67212-4916

Mailing Address2020 N Tyler Rd Ste 112Wichita, KS 67212-4916 · (316) 295-4591 · Fax (316) 295-4713

Phone(316) 295-4591

Fax(316) 295-4713

Organization SubpartNo

Authorized OfficialPerry YoungDivisional Vice President · (316) 295-4591

Enumeration DateOctober 30, 2012

✔ NPI 1104170059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KS · 8422

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2020 N TYLER RD STE 112, Wichita, KS 67212

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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