Basic Information
Provider Information
NPI: 1144537085
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZABLEWSKI
FirstName: LINDSAY
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: TLMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1103 GRAND BLVD APT 1409
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641062455
CountryCode: US
TelephoneNumber: 9134882690
FaxNumber:  
Practice Location
Address1: 8906 W 97TH ST
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662124014
CountryCode: US
TelephoneNumber: 9139526696
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2010
LastUpdateDate: 09/13/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000XT-LMSW 7907KSY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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