MEDICARE: MS. SONJA K OSTRANDER 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	1041C0700X	Clinical Social Worker	06822	KS

General Provider Information

NPI Number	:	1942623285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONJA K OSTRANDER LMSW

Provider Business Mailing Address
First Line	:	1202 E 1ST ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-3907
Country	:	US
Telephone Number	:	316-990-6371
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 E 1ST ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-3907
Country	:	US
Telephone Number	:	316-990-6371
Fax Number	:

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

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	11/20/2025

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