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NPI Code Detail

MEDICARE: SANDRA BETH MAYER LSCSW

MEDICARE: SANDRA BETH MAYER 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 Worker1766KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125811013OTHERBCBS OF KC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699878512
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA BETH MAYER LSCSW
Provider Business Mailing Address
First Line : 901 E. 104TH ST.
Second Line : MAILSTOP 400N
City : KANSAS CITY
State : MO
Zip : 64131
Country : US
Telephone Number : 816-502-7104
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : 12541 FOSTER ST STE 300
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2304
Country : US
Telephone Number : 913-317-3200
Fax Number : 913-317-3218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 01/18/2018

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Directions to “ SANDRA BETH MAYER LSCSW” Practice Location

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