MEDICARE: JASON SCHECK 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	2522	KS

General Provider Information

NPI Number	:	1548204415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SCHECK LSCSW

Provider Business Mailing Address
First Line	:	1999 N AMIDON AVE STE 224
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67203-2123
Country	:	US
Telephone Number	:	316-365-8889
Fax Number	:	316-330-3962

Provider Business Practice Location Address
First Line	:	1999 N AMIDON AVE STE 224
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67203-2123
Country	:	US
Telephone Number	:	316-365-8889
Fax Number	:	316-330-3962

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	01/06/2023

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