MEDICARE: MS. EVA E HOWARD MSW

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	005853	MO

General Provider Information

NPI Number	:	1659400042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVA E HOWARD MSW

Provider Business Mailing Address
First Line	:	660 BROOKLYN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-2302
Country	:	US
Telephone Number	:	816-931-8776
Fax Number	:	816-474-4157

Provider Business Practice Location Address
First Line	:	660 BROOKLYN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-2302
Country	:	US
Telephone Number	:	816-931-8776
Fax Number	:	816-474-4157

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

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	07/08/2007

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