Angela N. Holoubek, Lscsw
Organization Active NPI Clinical Social Worker · Wichita, KS
NPI 1295936151 · NPPES record last updated Nov 20, 2014
Key facts
- NPI
- 1295936151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2485 (KS)
- Legal business name
- ANGELA N. HOLOUBEK, LSCSW
- Practice address
- 313 N Seneca St
#117
Wichita, KS 67203-5937 - Phone
- (316) 804-5135
- Fax
- (888) 393-8364
- NPI assigned
- May 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Angela Nichole Holoubek, LSCSW
- Title
- Owner
- Phone
- (316) 804-5135
Practitioners 1
-
Angela Nichole Holoubek, LSCSW, RPT
National Provider Directory
Locations
313 N Seneca St
Ste 117
Wichita, KS 67203
Phone (316) 259-4382
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 2485 | KS | Yes |
Addresses
Primary practice location
313 N Seneca St
#117
Wichita, KS 67203-5937
Mailing address
313 N Seneca St
#117
Wichita, KS 67203-5937
Phone (316) 804-5135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200438180 | Medicaid | KS |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2014. 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.