MEDICARE: ALLYSON MARIE BENCE MSW, 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
1	104100000X	Social Worker	LMSW12275	KS
2	1041C0700X	Clinical Social Worker	LSCSW06299	KS

General Provider Information

NPI Number	:	1922771278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON MARIE BENCE MSW, LSCSW

Provider Business Mailing Address
First Line	:	1910 S ROUSE ST APT 211
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-6738
Country	:	US
Telephone Number	:	620-875-5189
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 W 160TH ST STE 100
Second Line	:
City	:	STILWELL
State	:	KS
Zip	:	66085-8100
Country	:	US
Telephone Number	:	913-404-5232
Fax Number	:	913-423-1230

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

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	07/12/2024

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