Healthcare Provider Details

I. General information

NPI: 1033328000
Provider Name (Legal Business Name): TERESA E STENZEL LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA E COPELAND LSCSW

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 12/23/2019
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E. 7TH STREET SUITE 265
HAYS KS
67601
US

IV. Provider business mailing address

205 E. 7TH STREET SUITE 265 PO BOX 1623
HAYS KS
67601
US

V. Phone/Fax

Practice location:
  • Phone: 785-798-0850
  • Fax: 316-283-9540
Mailing address:
  • Phone: 785-798-0850
  • Fax: 316-283-9540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW3916
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW 6106
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: