1306904511 NPI number — MS. PATRICIA MARIE KRAWCZYK MSW LSCSW

Table of content: MS. PATRICIA MARIE KRAWCZYK MSW LSCSW (NPI 1306904511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306904511 NPI number — MS. PATRICIA MARIE KRAWCZYK MSW LSCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAWCZYK
Provider First Name:
PATRICIA
Provider Middle Name:
MARIE
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306904511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4019 EAST 115TH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-761-5849
Provider Business Mailing Address Fax Number:
816-761-5849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7700 SHAWNEE MISSION PKWY
Provider Second Line Business Practice Location Address:
SUITE 309 FULL CIRCLE COUNSELING SERVICES PATRICIA KRAW
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-789-9119
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006

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:  2389 , 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)