Provider Demographics
NPI:1033241963
Name:CLINE-WILLIAMS, PAULA V (LCSW LSCSW LPN)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:V
Last Name:CLINE-WILLIAMS
Suffix:
Gender:F
Credentials:LCSW LSCSW LPN
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:V
Other - Last Name:CLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW LSCSW LPN
Mailing Address - Street 1:111 E 98TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4111
Mailing Address - Country:US
Mailing Address - Phone:816-305-1993
Mailing Address - Fax:
Practice Address - Street 1:111 E 98TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4111
Practice Address - Country:US
Practice Address - Phone:816-305-1993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0007021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO493430706Medicaid