Provider Demographics
NPI:1316392996
Name:SPIEGEL, STEPHANIE (LMSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:STEVIE
Other - Middle Name:
Other - Last Name:SPIEGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:444 MINNESOTA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2914
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4600 W 51ST ST
Practice Address - Street 2:SUITE 301
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-3500
Practice Address - Country:US
Practice Address - Phone:913-278-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9759104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker