Cecily E Blackman, LSCSW | |
24305 W 107th Pl, Olathe, KS 66061-7581 | |
(913) 219-5051 | |
Not Available |
Full Name | Cecily E Blackman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 24 Years |
Location | 24305 W 107th Pl, Olathe, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417222936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2023037094 (Missouri) | Secondary |
1041C0700X | Social Worker - Clinical | 4055 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakemary Center Inc | 2264614734 | 3 |
Entity Name | Lakemary Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275508558 PECOS PAC ID: 2264614734 Enrollment ID: O20110307000010 |
Mailing Address | Practice Location Address |
---|---|
Cecily E Blackman, LSCSW 24305 W 107th Pl, Olathe, KS 66061-7581 Ph: (913) 219-5051 | Cecily E Blackman, LSCSW 24305 W 107th Pl, Olathe, KS 66061-7581 Ph: (913) 219-5051 |
Megan Lynn Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15130 W 132nd St, Olathe, KS 66062 Phone: 913-609-0705 | |
Mr. Lawrence P Lehman, ACSW/LSCSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 N Mur Len Rd, Suite 6, Olathe, KS 66062 Phone: 913-390-8719 Fax: 913-390-8719 | |
Mrs. Cassandra F Deforest, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Erin Stucky, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Mrs. Megan Lee Hosterman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Mr. Karlous U Kalu, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Katie Tillman Cecil, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16045 S Brookfield St, Olathe, KS 66062 Phone: 913-553-0453 |