Healthcare Provider Details

I. General information

NPI: 1144331489
Provider Name (Legal Business Name): WILLIAM THOMAS ART L.S.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 SHAWNEE MISSION PKWY STE 216
OVERLAND PARK KS
66202-4005
US

IV. Provider business mailing address

3100 BROADWAY SUITE 410
KANSAS CITY MO
64111
US

V. Phone/Fax

Practice location:
  • Phone: 913-383-3333
  • Fax: 913-341-1155
Mailing address:
  • Phone: 816-753-3333
  • Fax: 816-753-7744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1549
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2000170898
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW1549
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100098010
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer
# 2
Identifier20840010
Identifier TypeOTHER
Identifier State
Identifier IssuerBCBS OF KC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: