Provider Demographics
NPI:1477102721
Name:HERBERS, KELLI (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:KELLI
Middle Name:
Last Name:HERBERS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E 7TH ST STE 215
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-4161
Mailing Address - Country:US
Mailing Address - Phone:785-670-5017
Mailing Address - Fax:
Practice Address - Street 1:205 E 7TH ST STE 215
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4161
Practice Address - Country:US
Practice Address - Phone:785-670-5017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8298104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker