Provider Demographics
NPI:1285842450
Name:WELLER, DENISE BROWN (MSW, LSCSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:BROWN
Last Name:WELLER
Suffix:
Gender:F
Credentials:MSW, LSCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15621 S HUNTER ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4032
Mailing Address - Country:US
Mailing Address - Phone:913-708-3742
Mailing Address - Fax:
Practice Address - Street 1:15621 S HUNTER ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-4032
Practice Address - Country:US
Practice Address - Phone:913-708-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24101041C0700X
MO20040061821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical