Provider Demographics
NPI:1427596279
Name:GUDGEL, WHITNEY (LMSW)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:GUDGEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1433
Mailing Address - Country:US
Mailing Address - Phone:913-826-3150
Mailing Address - Fax:816-826-0289
Practice Address - Street 1:300 E 36TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1410
Practice Address - Country:US
Practice Address - Phone:816-508-3569
Practice Address - Fax:816-508-3535
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9047104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker