Provider Demographics
NPI:1114022563
Name:CALVERT, KATHY J (LSCSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:J
Last Name:CALVERT
Suffix:
Gender:F
Credentials:LSCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 ROE AVE
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5073
Mailing Address - Country:US
Mailing Address - Phone:913-383-3283
Mailing Address - Fax:
Practice Address - Street 1:8100 MARTY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3738
Practice Address - Country:US
Practice Address - Phone:913-648-4760
Practice Address - Fax:913-648-4761
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical