Provider Demographics
NPI:1629127923
Name:SPANIOL, KAY LYNN (LSCSW MSW)
Entity Type:Individual
Prefix:MRS
First Name:KAY
Middle Name:LYNN
Last Name:SPANIOL
Suffix:
Gender:F
Credentials:LSCSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 NORTH MUR LEN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:913-829-2008
Mailing Address - Fax:913-764-1195
Practice Address - Street 1:511 NORTH MUR LEN
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062
Practice Address - Country:US
Practice Address - Phone:913-829-2008
Practice Address - Fax:913-764-1195
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1S43104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker