1265432462 NPI number — MS. TAMMY LEA MCGINNIS MSW, LSCSW

Table of content: MS. TAMMY LEA MCGINNIS MSW, LSCSW (NPI 1265432462)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265432462 NPI number — MS. TAMMY LEA MCGINNIS MSW, LSCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGINNIS
Provider First Name:
TAMMY
Provider Middle Name:
LEA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LSCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOWSER-MCGINNIS
Provider Other First Name:
TAMMY
Provider Other Middle Name:
LEA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LSCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1265432462
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4300 SE OAKVIEW LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66609-1638
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-249-4380
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3600 SW BURLINGAME RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66611-2053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-246-6360
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LSCSW 1383 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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