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

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

Practice location Address checks out

547 N Roosevelt St
Wichita, KS 67208-3273 Not confirmed with CMS for 19 years — call before visiting
Phone: (316) 641-4925
Fax: (316) 684-5448
Show map & directions

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 295 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Wichita