Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANDALA CLINICAL, LLC.
NPI 1336979863
Social Worker - Clinical in Wichita, KS

Active since August 07, 2024
2520 E DOUGLAS AVE, WICHITA, KS 67214(316) 776-5489(316) 494-6348 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2026, Aug 7, 2024 (2 updates tracked since 2024).

About Mandala Clinical, Llc. NPPES

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

MANDALA CLINICAL, LLC. (NPI 1336979863) is a healthcare organization registered as a clinical in Wichita, Kansas and active in the NPI registry since August 2024. The organization lists Chelsea Jackson, Clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1336979863
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMANDALA CLINICAL, LLC.
Location Address2520 E DOUGLAS AVEWichita, KS 67214-4514
Mailing Address2520 E Douglas AveWichita, KS 67214-4514 · (316) 776-5489 · Fax (316) 494-6348
Fax(316) 494-6348
Organization SubpartNo
Authorized OfficialChelsea JacksonClinical Manager · (316) 776-5489
Enumeration DateAugust 7, 2024
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1336979863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2520 E DOUGLAS AVE, Wichita, KS 67214

Other Names 1

Other NameMandala Community, Llc.

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 2

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

Social Worker
2520 E DOUGLAS AVE
WICHITA, KS 67214
Counselor (Mental Health)
2520 E DOUGLAS AVE
WICHITA, KS 67214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandala Clinical, LLC.'s NPI number?

The NPI number for Mandala Clinical, LLC. is 1336979863. It was assigned to this organization in the NPPES registry on August 7, 2024. The provider is also known as Mandala Community, LLC..

Where is Mandala Clinical, LLC. located?

Mandala Clinical, LLC. is located at 2520 E Douglas Ave, Wichita, KS 67214. The listed phone number is (316) 776-5489.

What is Mandala Clinical, LLC.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Mandala Clinical, LLC. was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.