Saralyn A. Ativie, MSW, LMSW
Individual provider Active NPI Clinical Social Worker · Fort Leavenworth, KS
NPI 1508960055 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508960055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801071684 (MI)
- Practice address
- 550 Pope Ave
Fort Leavenworth, KS 66027-2332 - Phone
- (913) 684-6769
- Fax
- (913) 684-6766
- NPI assigned
- Sep 12, 2006
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801071684 | MI | Yes |
Addresses
Primary practice location
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Mailing address
2912 S.14TH Street
Leavenworth, KS 66048
Phone (913) 684-6769
Other providers in Fort Leavenworth, KS
- Carolyn Cloud Anderson
- Marie Arceo
- Patrick Jon Armistead-Jehle
- Sylvia Cena Arvizu
- Jonas J Ashbaugh
- Ronald MC Arthur Atkinson Sr.
- Bryan Bacon
- Clay Mitchell Baldwin
- Tessa Samson Baptista
- Marquita Sheree Barr
All providers in Fort Leavenworth, 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 Jul 8, 2007. 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.