Healthcare Provider Details

I. General information

NPI: 1376841445
Provider Name (Legal Business Name): ASHLEY C BLAND LSCSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7940 MARSHALL DR
LENEXA KS
66214-1562
US

IV. Provider business mailing address

1807 S KIOWA CT
OLATHE KS
66062-2906
US

V. Phone/Fax

Practice location:
  • Phone: 913-499-8100
  • Fax: 913-499-8111
Mailing address:
  • Phone: 913-220-5507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4897
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2018040366
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: