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KILLIAN JAMES DERUSHA LMSW
NPI 1851811756
Social Worker in Lawrence, KS

Active since June 21, 2017PECOS Enrolled
1311 WAKARUSA DR STE 2100, LAWRENCE, KS 66049(785) 424-7770(785) 843-2219 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Killian James Derusha Lmsw NPPES

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

KILLIAN JAMES DERUSHA LMSW (NPI 1851811756) is an individual social worker in Lawrence, Kansas, licensed in Kansas (10470) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851811756
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKILLIAN JAMES DERUSHACredential: LMSW
Location Address1311 WAKARUSA DR STE 2100Lawrence, KS 66049-4775
Mailing Address1311 Wakarusa Dr Ste 2100Lawrence, KS 66049-4775 · Fax (785) 843-2219
Phone(785) 424-7770
Fax(785) 843-2219
Sole ProprietorNo
Enumeration DateJune 21, 2017
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1851811756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in KS · 10470
Definition
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.
1311 WAKARUSA DR STE 2100, Lawrence, KS 66049
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Other Names 1

Former Name (1)Sierra Destiny Derusha

Other Identifiers 1

Medicaid3004349890002KS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Killian James Derusha Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Killian Derusha's NPI number?

The NPI number for Killian Derusha is 1851811756. It was assigned to this individual provider in the NPPES registry on June 21, 2017. The provider is also known as Sierra Destiny Derusha.

Where is Killian Derusha located?

Killian Derusha practices at 1311 Wakarusa Dr Ste 2100, Lawrence, KS 66049. The listed phone number is (785) 424-7770.

What is Killian Derusha's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Killian Derusha enrolled in Medicare?

Yes. Killian Derusha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Killian Derusha was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.