Healthcare Provider Details

I. General information

NPI: 1245147628
Provider Name (Legal Business Name): JOIE BETH FREIRICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6221 RICHARDS DR
SHAWNEE KS
66216-1724
US

IV. Provider business mailing address

6201 JOHNSON DR APT 444
MISSION KS
66202-3481
US

V. Phone/Fax

Practice location:
  • Phone: 913-766-1587
  • Fax: 913-766-1668
Mailing address:
  • Phone: 913-766-1587
  • Fax: 913-766-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14519
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: