MEDICARE: ROBERT WINTON STONE LMSW

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	104100000X	Social Worker	LMSW12517	KS

General Provider Information

NPI Number	:	1770226482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WINTON STONE LMSW

Provider Business Mailing Address
First Line	:	14617 E PHELPS CT
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-3557
Country	:	US
Telephone Number	:	161-950-8621
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 CLAY EDWARDS DR
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3235
Country	:	US
Telephone Number	:	816-803-9532
Fax Number	:

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

Provider Enumeration Date	:	04/19/2022
Last Update Date	:	04/19/2022

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