Ralph D Dowell, LSCSW

Individual provider Active NPI Clinical Social Worker · Hiawatha, KS

NPI 1336201268 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336201268
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
3706 (KS)
Practice address
909 S 2ND St
Hiawatha, KS 66434-2774
Phone
(785) 742-7113
Fax
(785) 742-3085
NPI assigned
Dec 15, 2006
Sex
Male
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
3706KSMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3706 KS Yes

Addresses

Primary practice location

909 S 2ND St
Hiawatha, KS 66434-2774

Mailing address

909 S 2ND St
PO Box 319
Hiawatha, KS 66434-2774
Phone (785) 742-7113

Other providers in Hiawatha, KS

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

Sources for this page

Verify at the official NPI Registry.