Provider Demographics
NPI:1407031594
Name:ARANGO, IVETTE M (LSCSW, LCSW, CRAADC)
Entity Type:Individual
Prefix:
First Name:IVETTE
Middle Name:M
Last Name:ARANGO
Suffix:
Gender:F
Credentials:LSCSW, LCSW, CRAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-4505
Mailing Address - Country:US
Mailing Address - Phone:816-739-9419
Mailing Address - Fax:913-283-8908
Practice Address - Street 1:10100 W 87TH ST STE 113
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4628
Practice Address - Country:US
Practice Address - Phone:913-283-8905
Practice Address - Fax:913-893-8908
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001744071041C0700X
KS22731041C0700X
MO2481101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)