Healthcare Provider Details

I. General information

NPI: 1457907214
Provider Name (Legal Business Name): DEMAY GRUNDEN LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2019
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 HOLLY LN
SALINA KS
67401-8452
US

IV. Provider business mailing address

730 HOLLY LN
SALINA KS
67401-8452
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-4930
  • Fax: 785-452-4932
Mailing address:
  • Phone: 785-452-4930
  • Fax: 785-452-4932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06756
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number394
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7576
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: