Provider Demographics
NPI:1598482564
Name:EHRHART, JORDANNE (LSCSW)
Entity Type:Individual
Prefix:
First Name:JORDANNE
Middle Name:
Last Name:EHRHART
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 1:306 E 12TH ST UNIT 604
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-2472
Mailing Address - Country:US
Mailing Address - Phone:785-577-1188
Mailing Address - Fax:
Practice Address - Street 1:18555 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-8206
Practice Address - Country:US
Practice Address - Phone:913-215-2438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS52021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical