Provider Demographics
NPI:1477020279
Name:NEBEL, SARAH (LSCSW, LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NEBEL
Suffix:
Gender:F
Credentials:LSCSW, LCSW, MSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ADAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW, LCSW, MS
Mailing Address - Street 1:5750 W 95TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2974
Mailing Address - Country:US
Mailing Address - Phone:913-735-5763
Mailing Address - Fax:
Practice Address - Street 1:5750 W 95TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2974
Practice Address - Country:US
Practice Address - Phone:913-735-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904010764104100000X
MO20180415741041C0700X
KS48761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker