Healthcare Provider Details
I. General information
NPI: 1902326820
Provider Name (Legal Business Name): BRITTANI MAY LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/21/2017
Last Update Date: 07/08/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 MEDICAL CENTER DR
NEWTON KS
67114-8778
US
IV. Provider business mailing address
720 MEDICAL CENTER DR
NEWTON KS
67114-8778
US
V. Phone/Fax
- Phone: 316-283-6103
- Fax: 316-283-1333
- Phone: 316-284-5170
- Fax: 316-358-2571
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 4956 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: