Wendy Anderson, LCSW

Individual provider Active NPI Clinical Social Worker · Overland Park, KS

NPI 1649670944 · NPPES record last updated Nov 21, 2023

Key facts

NPI
1649670944
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2021015971 (MO)
Practice address
5801 W 115TH St
Suite 103
Overland Park, KS 66211-1800
Phone
(913) 327-8253
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2021015971MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2021015971 MO Yes

Addresses

Primary practice location

5801 W 115TH St
Suite 103
Overland Park, KS 66211-1800

Mailing address

5801 W 115TH St
Suite 103
Overland Park, KS 66211-1800
Phone (913) 327-8253

Other providers in Overland Park, KS

All providers in Overland Park, KS · Clinical Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.