Provider Demographics
NPI:1235153420
Name:CRANSTON, MARGARET RUTH (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:RUTH
Last Name:CRANSTON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:R
Other - Last Name:GOGER-CRANSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSCSW
Mailing Address - Street 1:807 N WACO AVE
Mailing Address - Street 2:STE 22
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3971
Mailing Address - Country:US
Mailing Address - Phone:316-977-8400
Mailing Address - Fax:844-308-5804
Practice Address - Street 1:807 N WACO AVE
Practice Address - Street 2:STE 22
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3971
Practice Address - Country:US
Practice Address - Phone:316-977-8400
Practice Address - Fax:844-308-5804
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1879104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS473095OtherVALUE OPTIONS
KS5591933OtherFIRST HEALTH
KS70089OtherBCBS
KS473095OtherVALUE OPTIONS
KS9022OtherPREFERRED HEALTH SYSTEMS