Lura L Borsdorf, LSCSW
Individual provider Active NPI Clinical Social Worker · Andover, KS
NPI 1144314352 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1144314352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3581 (KS)
- Practice address
- 403 W Central Ave Ste a
Andover, KS 67002-9614 - Phone
- (316) 200-6820
- Fax
- (888) 648-8640
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3581 | KS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3581 | KS | Yes |
Addresses
Primary practice location
403 W Central Ave Ste a
Andover, KS 67002-9614
Mailing address
3001 Cornelison St
Wichita, KS 67203-2032
Phone (316) 200-6820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200423490E | Medicaid | KS |
Other providers in Andover, KS
- Sarah Blosser
- Terry Keith Blue
- Michaela Bolynn
- Ryan Bordewick
- Heather Borsdorf
- Christianna Diane Bowen
- Angelica Bretton
- Bruce A Brittain
- McKay Alexander Brumfield
- Jody Buchanan
All providers in Andover, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.