Lueata Ann Evenson is a Clinical in Wichita, Kansas. Lueata Ann Evenson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lueata Ann Evenson is 1568637254. The last update date is 2021-03-31.
Lueata Ann Evenson's current location address is 350 S Broadway Ave, Wichita, Kansas. You can contact this provider via phone number 3166609600 and fax number 3169415075. The mailing address for Lueata Ann Evenson is 350 S Broadway Ave, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lueata Ann Evenson |
|---|---|
| Address | 350 S Broadway Ave, Wichita, Kansas |
| Phone Number | 3166609600 |
| Fax Number | 3169415075 |
| Sole Proprietor | N |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1568637254 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 350 S Broadway Ave |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672024304 |
| Phone Number | 3166609600 |
| Fax Number | 3169415075 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5394 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1568637254 | NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Lueata Ann Evenson by the Centers for Medicare & Medicaid Services?
The Lueata Ann Evenson has been issued the NPI (National Provider Identifier) 1568637254. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lueata Ann Evenson?
The Lueata Ann Evenson is physically situated at 350 S Broadway Ave, in the city of Wichita, state of KS, with the postal code 672024304.
What is Lueata Ann Evenson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lueata Ann Evenson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Lueata Ann Evenson receive its 1568637254 assignment from the Centers for Medicare & Medicaid Services?
The Lueata Ann Evenson was assigned its 1568637254 by the Centers for Medicare & Medicaid Services on 2008-04-24.
As of what date was the information pertaining to Lueata Ann Evenson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lueata Ann Evenson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-31.