| The Family Conservancy | |
|
626 Minnesota Avenue Kansas City KS 66101-2806 | |
| (913) 342-1110 | |
| (913) 342-3632 |
| Full Name | The Family Conservancy |
|---|---|
| Speciality | Social Worker |
| Location | 626 Minnesota Avenue, Kansas City, Kansas |
| Authorized Official Name and Position | Betsy Robinson Vandervelde (CEO & PRESIDENT) |
| Authorized Official Contact | 9133421110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Conservancy 444 Minnesota Avenue Suite 200 Kansas City KS 66101-2806 Ph: (913) 342-1110 | The Family Conservancy 626 Minnesota Avenue Kansas City KS 66101-2806 Ph: (913) 342-1110 |
| NPI Number | 1336255173 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 09/04/2012 |
| Medicare PECOS PAC ID | 2860466513 |
|---|---|
| Medicare Enrollment ID | O20120105000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336255173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lara B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710923487 PECOS PAC ID: 4587837810 Enrollment ID: I20140307000649 |
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