MEDICARE: ELIZABETH CONAWAY 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

General Provider Information

NPI Number	:	1922786953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CONAWAY LMSW

Provider Business Mailing Address
First Line	:	200 E 81ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-2582
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E 81ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-2582
Country	:	US
Telephone Number	:	816-534-3761
Fax Number	:

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

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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Directions to “ ELIZABETH CONAWAY LMSW” Practice Location

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