Basic Information
Provider Information
NPI: 1417286220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOJCSIK
FirstName: KARA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 131 BOND ST
Address2:  
City: NEW FREEDOM
State: PA
PostalCode: 173499658
CountryCode: US
TelephoneNumber: 8162239702
FaxNumber:  
Practice Location
Address1: 21350 W 153RD ST
Address2:  
City: OLATHE
State: KS
PostalCode: 660615413
CountryCode: US
TelephoneNumber: 9133222400
FaxNumber: 9136215730
Other Information
ProviderEnumerationDate: 12/08/2009
LastUpdateDate: 10/23/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X2009005677MOY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


Home