Healthcare Provider Details

I. General information

NPI: 1972431237
Provider Name (Legal Business Name): FATIMA GISSELL CONTRERAS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 ELMHURST BLVD
SALINA KS
67401
US

IV. Provider business mailing address

809 ELMHURST BLVD
SALINA KS
67401
US

V. Phone/Fax

Practice location:
  • Phone: 785-823-6322
  • Fax: 785-823-3109
Mailing address:
  • Phone: 785-823-6322
  • Fax: 785-823-3109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number01234
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: