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General NPI Number Information
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NPI Number | 1881769404
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Entity Type | Individual
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Provider Name | SUSAN THOMPSON LSCSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4121 W 83RD ST STE 204
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-5323
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Country | US
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Telephone | 913-481-4004
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 W 62ND ST
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City | MISSION
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State | KS
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Zip | 66202-3539
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Country | US
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Telephone | 913-481-4004
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1064
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License Number State | KS
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