Healthcare Provider Details

I. General information

NPI: 1003803800
Provider Name (Legal Business Name): CYNTHIA LANN CLAXTON LSCSW, LCAC, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 07/20/2025
Certification Date: 07/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N MUR LEN RD STE 11A
OLATHE KS
66062-5425
US

IV. Provider business mailing address

601 N MUR LEN RD STE 11A
OLATHE KS
66062-5425
US

V. Phone/Fax

Practice location:
  • Phone: 816-517-7231
  • Fax:
Mailing address:
  • Phone: 816-517-7231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2004030209
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAC516
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW3999
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: