MEDICARE: MARTIN J DRESSMAN MSW, LSCSW, LCSW

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	LCSW003266	MO
2	1041C0700X	Clinical Social Worker	1579	KS
3	1041C0700X	Clinical Social Worker	LSCSW1579	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LSCSW1579	OTHER	KS	SOCIAL WORKER LICENSE
2	LCSW003266	OTHER	MO	SOCIAL WORKER LICENSE

General Provider Information

NPI Number	:	1902832116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN J DRESSMAN MSW, LSCSW, LCSW

Provider Business Mailing Address
First Line	:	8900 STATE LINE RD
Second Line	:	SUITE 403
City	:	LEAWOOD
State	:	KS
Zip	:	66206-1941
Country	:	US
Telephone Number	:	816-590-7950
Fax Number	:	913-649-0670

Provider Business Practice Location Address
First Line	:	8900 STATE LINE RD
Second Line	:	SUITE 403
City	:	LEAWOOD
State	:	KS
Zip	:	66206-1941
Country	:	US
Telephone Number	:	816-590-7950
Fax Number	:	913-649-0670

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/06/2021

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