Tina Haefke
Individual provider Active NPI Clinical Social Worker · Holton, KS
NPI 1841474558 · NPPES record last updated Dec 18, 2007
Key facts
- NPI
- 1841474558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LMSW 3095 (KS)
- Practice address
- 14839 254TH Rd
Holton, KS 66436-8764 - Phone
- (785) 364-5060
- NPI assigned
- Dec 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| LMSW 3095 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allies Therapeutic Services | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW 3095 | KS | Yes |
Addresses
Primary practice location
14839 254TH Rd
Holton, KS 66436-8764
Mailing address
14839 254TH Rd
Holton, KS 66436-8764
Phone (785) 364-5060
Other providers in Holton, KS
- Alex C Gilliland
- Joseph P Gilliland
- Glacial Hills Chiropractic
- Glacial Hills Chiropractic LLC
- Victoria J Haag
- Hartford, Inc.
- Malori Henry
- Scott D. Herrmann
- Holton Dental Inc.
- Holton Family Dentistry, P.a.
All providers in Holton, 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 Dec 18, 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.