Kasey Shepherd Lscsw LLC

NPI #1063039139 in Wichita, Kansas

Provider Information

NPI Number: 1063039139
Entity Type: Organization
Organization Name: Kasey Shepherd Lscsw LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 6, 2020
Last Updated: Jun 24, 2024

Practice Location

Address: 200 N BROADWAY AVE STE 500
City: Wichita
State: Kansas
ZIP Code: 67202-2322
Phone: (316) 425-7774

Authorized Official

Name: NINA M WILLIAMS
Title: CREDENTIALING SPECIALIST
Phone: (316) 516-2339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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