| Shrink Inc | |
|
3520 W 75th Street Ste 200 Prairie Village KS 66208 | |
| (913) 791-3805 | |
| (913) 677-1114 |
| Full Name | Shrink Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3520 W 75th Street, Prairie Village, Kansas |
| Authorized Official Name and Position | Susan Thompson (PRESIDENT OF SHRINK INC THERAPIST) |
| Authorized Official Contact | 9137913805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrink Inc 6001 W 62nd Street Mission KS 66202 Ph: (913) 791-3805 | Shrink Inc 3520 W 75th Street Ste 200 Prairie Village KS 66208 Ph: (913) 791-3805 |
| NPI Number | 1447339320 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 07/13/2010 |
| Medicare PECOS PAC ID | 0244295384 |
|---|---|
| Medicare Enrollment ID | O20041130000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447339320 | NPI | - | NPPES |
| 506186 | Other | KS | BCB SHIELD OF KANSAS |
| 20411011 | Other | COMPANY BLUE CROSS BLUE S | |
| 14633011 | Other | PROVIDER BLUE CROSS BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1064 (Kansas) | Primary |
| Provider Name | Susan Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881769404 PECOS PAC ID: 5698739134 Enrollment ID: I20041115001208 |
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