Healthcare Provider Details

I. General information

NPI: 1437128998
Provider Name (Legal Business Name): MARIA L CHENEY LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 HOLLY LANE
SALINA KS
67401
US

IV. Provider business mailing address

730 HOLLY LANE
SALINA KS
67401
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-7930
  • Fax: 785-452-4932
Mailing address:
  • Phone: 785-452-7930
  • Fax: 785-452-4932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2131
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: