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NPI Code Detail

MEDICARE: MAEGAN ELIZABETH CARLSTEN LSCSW

MEDICARE:   MAEGAN ELIZABETH CARLSTEN  LSCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker10790KS
21041C0700XClinical Social Worker06361KS

General Provider Information

NPI Number : 1063075281
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAEGAN ELIZABETH CARLSTEN LSCSW
Provider Business Mailing Address
First Line : 2206 N CRESTLINE CT
Second Line :
City : WICHITA
State : KS
Zip : 67205-1579
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2206 N CRESTLINE CT
Second Line :
City : WICHITA
State : KS
Zip : 67205-1579
Country : US
Telephone Number : 303-513-8984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 04/19/2024

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Directions to “ MAEGAN ELIZABETH CARLSTEN LSCSW” Practice Location

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