Healthcare Provider Details

I. General information

NPI: 1639595895
Provider Name (Legal Business Name): STACIA THOMPSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 03/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 N WATER ST
WICHITA KS
67203-3838
US

IV. Provider business mailing address

635 N MAIN ST
WICHITA KS
67203-3602
US

V. Phone/Fax

Practice location:
  • Phone: 316-660-7500
  • Fax:
Mailing address:
  • Phone: 316-660-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8213
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: