Provider Demographics
NPI:1629169560
Name:STEINER, MARK A (LSCSW)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:A
Last Name:STEINER
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10975 GRANDVIEW DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1564
Mailing Address - Country:US
Mailing Address - Phone:913-390-8719
Mailing Address - Fax:913-353-8040
Practice Address - Street 1:10975 GRANDVIEW DR
Practice Address - Street 2:SUITE 370
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1564
Practice Address - Country:US
Practice Address - Phone:913-390-8719
Practice Address - Fax:913-353-8040
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200686960AMedicaid