Provider Demographics
NPI:1093128936
Name:KLUTTZ, ROBIN L (LSCSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:KLUTTZ
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:HELGET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1512 S SIOUX DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:785-608-4456
Mailing Address - Fax:
Practice Address - Street 1:9300 W 110 TH ST
Practice Address - Street 2:STE 590
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:913-735-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9200104100000X
MD20190388021041C0700X
KS48361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker