Provider Demographics
NPI:1619491289
Name:JOETTE VIGNERY, LSCSW, LLC
Entity Type:Organization
Organization Name:JOETTE VIGNERY, LSCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JOETTE
Authorized Official - Middle Name:DEL
Authorized Official - Last Name:VIGNERY
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-524-3541
Mailing Address - Street 1:2900 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-1889
Mailing Address - Country:US
Mailing Address - Phone:785-524-3541
Mailing Address - Fax:
Practice Address - Street 1:2900 WINSTON DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-1889
Practice Address - Country:US
Practice Address - Phone:785-524-3541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4455104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty