Provider Demographics
NPI:1437192523
Name:SIMPSON, LINDA KAY (LSCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:LIDA
Other - Middle Name:KAY
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSCSW
Mailing Address - Street 1:32345 W 255TH ST
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071-4147
Mailing Address - Country:US
Mailing Address - Phone:913-952-3760
Mailing Address - Fax:913-592-5244
Practice Address - Street 1:905 E WEA ST
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1837
Practice Address - Country:US
Practice Address - Phone:913-952-3760
Practice Address - Fax:913-592-5244
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 38961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200613260AMedicaid
KS200613260AMedicaid