Healthcare Provider Details

I. General information

NPI: 1053023648
Provider Name (Legal Business Name): SARAH PAIGE VONFELDT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 W 9TH ST STE A
HOISINGTON KS
67544-1700
US

IV. Provider business mailing address

252 W 9TH ST STE A
HOISINGTON KS
67544-1700
US

V. Phone/Fax

Practice location:
  • Phone: 620-653-2386
  • Fax: 620-653-4186
Mailing address:
  • Phone: 620-653-2386
  • Fax: 620-653-4186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12709
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: