Provider Demographics
NPI:1578001566
Name:JASON SCHECK LLC
Entity Type:Organization
Organization Name:JASON SCHECK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-365-8889
Mailing Address - Street 1:1999 N AMIDON AVE STE 224
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2123
Mailing Address - Country:US
Mailing Address - Phone:316-365-8889
Mailing Address - Fax:316-330-3962
Practice Address - Street 1:1999 N AMIDON AVE STE 224
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2123
Practice Address - Country:US
Practice Address - Phone:316-365-8889
Practice Address - Fax:316-330-3962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS25221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty