MEDICARE: MRS. CYNTHIA LANN CLAXTON LSCSW, LCAC, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2004030209	MO
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAC516	KS
3	1041C0700X	Clinical Social Worker	LSCSW3999	KS

General Provider Information

NPI Number	:	1003803800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA LANN CLAXTON LSCSW, LCAC, LCSW

Provider Business Mailing Address
First Line	:	601 N MUR LEN RD STE 11A
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-5425
Country	:	US
Telephone Number	:	816-517-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 N MUR LEN RD STE 11A
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-5425
Country	:	US
Telephone Number	:	816-517-7231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	02/25/2026

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