Michael Alford
Individual provider Active NPI Social Worker · Independence, KS
NPI 1619198280 · NPPES record last updated Feb 18, 2013
Key facts
- NPI
- 1619198280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 4742 (KS)
- Practice address
- 3751 West Main
Independence, KS 67301 - Phone
- (630) 331-1748
- NPI assigned
- May 1, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4742 | KS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4742 | KS | Yes |
Addresses
Primary practice location
3751 West Main
Independence, KS 67301
Mailing address
PO Box 688
Independence, KS 67301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200435880A | Medicaid | KS |
Other providers in Independence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2013. 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.