Healthcare Provider Details

I. General information

NPI: 1225554876
Provider Name (Legal Business Name): MARIA PATRICIA STRONG LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 08/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 E KELLOGG DR
WICHITA KS
67218-1607
US

IV. Provider business mailing address

7409 E WINTERBERRY ST
WICHITA KS
67226-2226
US

V. Phone/Fax

Practice location:
  • Phone: 316-685-2221
  • Fax: 316-685-2221
Mailing address:
  • Phone: 316-768-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10410
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10410
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: