Mandle Ozbun Professional Development, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1075 Issued in KS

Legal business name

MANDLE OZBUN PROFESSIONAL DEVELOPMENT, LLC

Practice address

1201 Wakarusa Dr
Suite E2
Lawrence, KS 66049-4722

Phone

(785) 207-0944

Fax

(785) 856-0655

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shannon Mandle Ozbun, LSCSW

Title

Director/Member

Phone

(785) 207-0944

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1477713832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR",
            "address_2": "SUITE E2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494722",
            "telephone_number": "785-207-0944",
            "fax_number": "785-856-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR",
            "address_2": "SUITE E2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494722",
            "telephone_number": "785-207-0944",
            "fax_number": "785-856-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDLE OZBUN PROFESSIONAL DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "OZBUN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MANDLE",
        "authorized_official_title_or_position": "DIRECTOR/MEMBER",
        "authorized_official_telephone_number": "785-207-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Makara
• Christopher J Malik, M.D.
• Kitrina Roxanne Mallon, DENTAL HYGIENIST
• Edward A Manda, DDS
• James A Mandigo III, M.D.
• Hemil Hasmukh Maniar, M.D.
• Christina Marie Mann, LSCSW
• Namaste Hall Manney, LSCSW
• Katrina Renee Manning-Franczek
• Megan Kathleen Marasco, MOTR/L

• Clinical Social Worker in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.