| Judi Jones Lscsw Lcac Chartered | |
|
1421 E 2nd St N Wichita KS 67214-4119 | |
| (316) 252-1144 | |
| (316) 330-3984 |
| Full Name | Judi Jones Lscsw Lcac Chartered |
|---|---|
| Speciality | Social Worker |
| Location | 1421 E 2nd St N, Wichita, Kansas |
| Authorized Official Name and Position | Judi Jones (OWNER) |
| Authorized Official Contact | 3162521144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judi Jones Lscsw Lcac Chartered 1421 E 2nd St N Wichita KS 67214-4119 Ph: (316) 252-1144 | Judi Jones Lscsw Lcac Chartered 1421 E 2nd St N Wichita KS 67214-4119 Ph: (316) 252-1144 |
| NPI Number | 1053077446 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Medicare PECOS PAC ID | 4486044757 |
|---|---|
| Medicare Enrollment ID | O20211130001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053077446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judith Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154771038 PECOS PAC ID: 7315278355 Enrollment ID: I20191007000564 |
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