Healthcare Provider Details

I. General information

NPI: 1609082940
Provider Name (Legal Business Name): EPISCOPAL SOCIAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 11/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N MAIN ST
WICHITA KS
67203-3609
US

IV. Provider business mailing address

PO BOX 670
WICHITA KS
67201-0670
US

V. Phone/Fax

Practice location:
  • Phone: 316-269-4160
  • Fax: 316-269-3550
Mailing address:
  • Phone: 316-269-4160
  • Fax: 316-269-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA A. ANDRES
Title or Position: EXECUTIVE DIRECTOR
Credential: LMSW, PHD
Phone: 316-269-4160