Provider Demographics
NPI:1326055542
Name:ARTZER, DAVID (LSCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:ARTZER
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10975 GRANDVIEW DR
Mailing Address - Street 2:STE 370
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1578
Mailing Address - Country:US
Mailing Address - Phone:913-948-7312
Mailing Address - Fax:913-948-7311
Practice Address - Street 1:10975 GRANDVIEW DR
Practice Address - Street 2:STE 370
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1578
Practice Address - Country:US
Practice Address - Phone:913-948-7312
Practice Address - Fax:913-948-7311
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW14871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000B002Medicare PIN