Healthcare Provider Details

I. General information

NPI: 1417389354
Provider Name (Legal Business Name): MARQUE ANNE SCHULTE LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARQUE ANNE MOSS LSCSW

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E D AVE STE 202
KINGMAN KS
67068-1563
US

IV. Provider business mailing address

9415 E HARRY ST STE 308
WICHITA KS
67207-5077
US

V. Phone/Fax

Practice location:
  • Phone: 620-532-3895
  • Fax: 620-513-5098
Mailing address:
  • Phone: 620-374-9248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10200
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5211
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: