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NPI Code Detail

MEDICARE: BETHANY OWENS LSCSW

MEDICARE: BETHANY OWENS 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
11041C0700XClinical Social Worker4768KS
2104100000XSocial Worker8073KS

General Provider Information

NPI Number : 1336530716
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY OWENS LSCSW
Provider Business Mailing Address
First Line : 306 N ROCK RD STE 30
Second Line :
City : WICHITA
State : KS
Zip : 67206-2256
Country : US
Telephone Number : 316-648-0619
Fax Number :
Provider Business Practice Location Address
First Line : 306 N ROCK RD STE 30
Second Line :
City : WICHITA
State : KS
Zip : 67206-2256
Country : US
Telephone Number : 316-648-0619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2015
Last Update Date : 08/04/2025

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Directions to “ BETHANY OWENS LSCSW” Practice Location

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