Provider Demographics
NPI:1679019814
Name:FARMER, CHELSEA LYNN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LYNN
Last Name:FARMER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 E CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1891
Mailing Address - Country:US
Mailing Address - Phone:314-660-1942
Mailing Address - Fax:
Practice Address - Street 1:10228 KESSLER ST APT A
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5357
Practice Address - Country:US
Practice Address - Phone:314-660-1942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9066104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS9826102289Medicaid