MEDICARE: JEREMY HIGH DSW, LSCSW, LCAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	668	KS
2	1041C0700X	Clinical Social Worker	4870	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710381850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY HIGH DSW, LSCSW, LCAC

Provider Business Mailing Address
First Line	:	2721 W 6TH ST STE B
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4302
Country	:	US
Telephone Number	:	758-251-0559
Fax Number	:	785-286-5901

Provider Business Practice Location Address
First Line	:	2721 W 6TH ST STE B
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4302
Country	:	US
Telephone Number	:	758-251-0559
Fax Number	:	785-286-5901

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

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	12/26/2025

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