Mary E Bowersox, LMSW
Individual provider Active NPI Social Worker · Olathe, KS
NPI 1982887964 · NPPES record last updated Aug 15, 2008
Key facts
- NPI
- 1982887964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 7068 (KS)
- Practice address
- 21350 W 153Rd St
Olathe, KS 66061-5413 - Phone
- (913) 322-2400
- Fax
- (913) 621-5730
- NPI assigned
- Dec 12, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7068 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7068 | KS | Yes |
Addresses
Primary practice location
21350 W 153Rd St
Olathe, KS 66061-5413
Mailing address
21350 W 153Rd St
Olathe, KS 66061-5413
Phone (913) 322-2400
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2008. 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.