Healthcare Provider Details

I. General information

NPI: 1194165175
Provider Name (Legal Business Name): CHANDLER AREANA MCKINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 01/15/2025
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 SW 29TH ST
TOPEKA KS
66614-2078
US

IV. Provider business mailing address

3601 SW 29TH ST
TOPEKA KS
66614-2078
US

V. Phone/Fax

Practice location:
  • Phone: 785-249-6401
  • Fax: 785-272-7912
Mailing address:
  • Phone: 785-289-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11052
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06355
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: