Heather Drake, LSCSW
Individual provider Active NPI Clinical Social Worker · Fairway, KS
NPI 1497200968 · NPPES record last updated Aug 24, 2016
Key facts
- NPI
- 1497200968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW #1453 (KS)
- Practice address
- 5231 Aberdeen Rd
Fairway, KS 66205-1728 - Phone
- (913) 269-1748
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRAADC #1476 | MO | MD | Addiction (Substance Use Disorder) Counselor |
| LSCSW #1453 | KS | MD | Clinical Social Worker |
| LCSW #004458 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CRAADC #1476 | MO | |
| Clinical Social Worker | 1041C0700X | LSCSW #1453 | KS | Yes |
| Clinical Social Worker | 1041C0700X | LCSW #004458 | MO |
Addresses
Primary practice location
5231 Aberdeen Rd
Fairway, KS 66205-1728
Mailing address
5231 Aberdeen Rd
Fairway, KS 66205-1728
Phone (913) 269-1748
Other providers in Fairway, KS
- Amanda Brunette
- Mark A Bunde
- Annette Carroll
- Carrie Dial
- Mary Frances Donnelly
- Katherine E Dwyer
- Jaime Coulson Eckrich
- Fairway Eye Center, Inc
- Samantha Annette Fikru
- Mary Beth E Fisher
All providers in Fairway, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2016. 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.