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NPI Code Detail

MEDICARE: BREA RICE LMSW-T

MEDICARE: BREA RICE LMSW-T
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 Worker13947-TKS

General Provider Information

NPI Number : 1619830353
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREA RICE LMSW-T
Provider Business Mailing Address
First Line : 271 W 3RD ST N STE 600
Second Line :
City : WICHITA
State : KS
Zip : 67202-1223
Country : US
Telephone Number : 316-660-7600
Fax Number :
Provider Business Practice Location Address
First Line : 635 N MAIN ST
Second Line :
City : WICHITA
State : KS
Zip : 67203-3602
Country : US
Telephone Number : 316-660-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ BREA RICE LMSW-T” Practice Location

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