Trista Dashner, LCSW

Individual provider Active NPI Clinical Social Worker · Fort Leavenworth, KS

NPI 1750839643 · NPPES record last updated Apr 7, 2025

Key facts

NPI
1750839643
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW018372 (PA)
Practice address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone
(913) 758-3748
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

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
CW018372PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valliere & Counseling Associates, Inc Past
since Oct 2, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018372 PA Yes

Addresses

Primary practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 758-3748

Other providers in Fort Leavenworth, KS

All providers in Fort Leavenworth, KS · Clinical Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.