Catherine Ainsworth

Individual provider Active NPI Clinical Social Worker · Olathe, KS

NPI 1235489782 · NPPES record last updated Sep 12, 2012

Key facts

NPI
1235489782
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LMSW8416 (KS)
Practice address
1715 E Cedar Suite 115
Olathe, KS 66062
Phone
(816) 977-3178
NPI assigned
Sep 12, 2012
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

LicenseStateTypeSpecialty
LMSW8416KSMDClinical Social Worker
2012026486MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW8416 KS Yes
Clinical Social Worker 1041C0700X 2012026486 MO

Addresses

Primary practice location

1715 E Cedar Suite 115
Olathe, KS 66062

Mailing address

1829 Delaware St
Lawrence, KS 66044
Phone (785) 979-1876

Other providers in Olathe, KS

All providers in Olathe, KS · Clinical Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.