| Samantha Runnion, Lscsw, Llc | |
|
7570 W 21st St N. Building 1046, Suite A Wichita KS 67205-6720 | |
| (316) 777-6718 | |
| (316) 462-0629 |
| Full Name | Samantha Runnion, Lscsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7570 W 21st St N., Wichita, Kansas |
| Authorized Official Name and Position | Samantha Valene Runnion (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3167776718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Runnion, Lscsw, Llc 7570 W 21st St N Building 1046, Suite A Wichita KS 67205-1734 Ph: (316) 777-6718 | Samantha Runnion, Lscsw, Llc 7570 W 21st St N. Building 1046, Suite A Wichita KS 67205-6720 Ph: (316) 777-6718 |
| NPI Number | 1689027070 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 01/01/2022 |
| Certification Date | 01/01/2022 |
| Medicare PECOS PAC ID | 5496039083 |
|---|---|
| Medicare Enrollment ID | O20170227001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689027070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4078 (Kansas) | Primary |
| Provider Name | Samantha V Runnion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912104597 PECOS PAC ID: 3375711880 Enrollment ID: I20110727000241 |
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