Healthcare Provider Details

I. General information

NPI: 1346895414
Provider Name (Legal Business Name): BRITTANY KATHLEEN HURSH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NE 83RD ST
KANSAS CITY MO
64119-4400
US

IV. Provider business mailing address

4949 WORNALL RD APT 408
KANSAS CITY MO
64112-2580
US

V. Phone/Fax

Practice location:
  • Phone: 816-468-0400
  • Fax: 816-877-0489
Mailing address:
  • Phone: 630-335-9189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2020041266
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: