MEDICARE: TERYN PINNEO

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	06598	KS
2	104100000X	Social Worker	12526	KS

General Provider Information

NPI Number	:	1730826645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERYN PINNEO

Provider Business Mailing Address
First Line	:	480 S ROGERS RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1706
Country	:	US
Telephone Number	:	913-764-2887
Fax Number	:	913-768-1437

Provider Business Practice Location Address
First Line	:	480 S ROGERS RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1706
Country	:	US
Telephone Number	:	913-764-2887
Fax Number	:	913-768-1437

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

Provider Enumeration Date	:	05/13/2022
Last Update Date	:	03/25/2026

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Directions to “ TERYN PINNEO ” Practice Location

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