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NPI Code Detail

MEDICARE: MS. PEGGY ANN SCHMIDT LMSW, LMAC

MEDICARE: MS. PEGGY ANN SCHMIDT LMSW, LMAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor421KS
2104100000XSocial Worker10401KS

General Provider Information

NPI Number : 1366749590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PEGGY ANN SCHMIDT LMSW, LMAC
Provider Business Mailing Address
First Line : 555 N WOODLAWN ST STE 3105
Second Line :
City : WICHITA
State : KS
Zip : 67208-3673
Country : US
Telephone Number : 316-685-1821
Fax Number :
Provider Business Practice Location Address
First Line : 555 N WOODLAWN ST STE 3105
Second Line :
City : WICHITA
State : KS
Zip : 67208-3673
Country : US
Telephone Number : 316-685-1821
Fax Number : 316-685-0768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2011
Last Update Date : 09/25/2024

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Directions to “ MS. PEGGY ANN SCHMIDT LMSW, LMAC” Practice Location

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