MEDICARE: COURTNEY C TRAIN 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
1	1041C0700X	Clinical Social Worker	06553	KS

General Provider Information

NPI Number	:	1205571411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY C TRAIN LSCSW

Provider Business Mailing Address
First Line	:	1700 E IRON AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-3401
Country	:	US
Telephone Number	:	785-670-5354
Fax Number	:	785-329-4795

Provider Business Practice Location Address
First Line	:	1700 E IRON AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-3401
Country	:	US
Telephone Number	:	785-670-5354
Fax Number	:	785-329-4795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	09/24/2024

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