Healthcare Provider Details

I. General information

NPI: 1831097955
Provider Name (Legal Business Name): CHRISTINA MALZNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17886 E 23RD ST S
INDEPENDENCE MO
64057-1840
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 816-254-3654
  • Fax: 816-886-5000
Mailing address:
  • Phone: 417-761-5000
  • Fax: 417-761-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2024026736
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: