Basic Information
| Provider Information | |||||||||
| NPI: | 1538254834 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASUNCION | ||||||||
| FirstName: | TOM | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13818 S. ACUFF | ||||||||
| Address2: | |||||||||
| City: | OLATHE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8164562987 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4801 LINWOOD | ||||||||
| Address2: | KANSAS CITY VETERANS AFFAIRS MEDICAL CENTER | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 64128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168614700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | PENDING | KS | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.