Healthcare Provider Details

I. General information

NPI: 1396678413
Provider Name (Legal Business Name): ANGELA CLAUSIUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N LAKEVIEW DR
DERBY KS
67037-2941
US

IV. Provider business mailing address

1325 N LAKEVIEW DR
DERBY KS
67037-2941
US

V. Phone/Fax

Practice location:
  • Phone: 316-258-5202
  • Fax:
Mailing address:
  • Phone: 316-258-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANGELA KAY CLAUSIUS
Title or Position: THERAPIST
Credential: LSCSW
Phone: 316-258-5202