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General NPI Number Information
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NPI Number | 1710646393
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Entity Type | Organization
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Legal Business Name | LINDA R CRENSHAW LSCSW LLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 7570 W 21ST ST N STE A BLDG 1046
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City | WICHITA
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State | KS
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Zip | 67205
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Country | US
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Telephone | 316-776-4766
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Fax | 913-224-1656
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Provider Business Mailing Address
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Address Line | 1314 N OLIVER AVE UNIT 20733
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City | WICHITA
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State | KS
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Zip | 67208-0410
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Country | US
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Telephone | 316-776-4766
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Fax | 913-224-1656
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Authorized Official
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Title or Position | OWNER
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Name | LINDA R CRENSHAW
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Credential | LSCSW
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Telephone | 316-776-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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