Provider Demographics
NPI:1093449746
Name:TWILLMAN, TALIA CHRISTINE (LMSW)
Entity Type:Individual
Prefix:
First Name:TALIA
Middle Name:CHRISTINE
Last Name:TWILLMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10216 KESSLER ST APT D
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-5352
Mailing Address - Country:US
Mailing Address - Phone:913-216-2283
Mailing Address - Fax:
Practice Address - Street 1:10216 KESSLER ST APT D
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5352
Practice Address - Country:US
Practice Address - Phone:913-216-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW-10606104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker