Provider Demographics
NPI:1346442092
Name:BARTKO, KATHLENE LEMAY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHLENE
Middle Name:LEMAY
Last Name:BARTKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHLENE
Other - Middle Name:LEMAY
Other - Last Name:BARRACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1101 MARSHALL CIR
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-4500
Mailing Address - Country:US
Mailing Address - Phone:785-717-8641
Mailing Address - Fax:270-964-5084
Practice Address - Street 1:1101 MARSHALL CIR
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-4500
Practice Address - Country:US
Practice Address - Phone:785-717-8641
Practice Address - Fax:270-964-5084
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010766211041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator