Kortney Lynne Holthaus, LMSW
Individual provider Active NPI Social Worker · Marysville, KS
NPI 1194240689 · NPPES record last updated Apr 4, 2018
Key facts
- NPI
- 1194240689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 10623 (KS)
- Practice address
- 406 N 3Rd St Ste 3
Marysville, KS 66508-1497 - Phone
- (785) 562-3907
- Fax
- (785) 562-3930
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients | |
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10623 | KS | Yes |
Addresses
Primary practice location
406 N 3Rd St Ste 3
Marysville, KS 66508-1497
Mailing address
2001 Claflin Rd
Manhattan, KS 66502-3415
Phone (785) 587-4300
Other providers in Marysville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2018. 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.