Provider Demographics
NPI:1740610328
Name:WILLIAMS, DIANA ALEJANDRA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ALEJANDRA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:ALEJANDRA
Other - Last Name:MUNOZ-GALVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW
Mailing Address - Street 1:7940 PARALLEL PARKWAY STE 2
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112
Mailing Address - Country:US
Mailing Address - Phone:913-205-3194
Mailing Address - Fax:913-328-4604
Practice Address - Street 1:7940 PARALLEL PARKWAY STE 2
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112
Practice Address - Country:US
Practice Address - Phone:913-205-3194
Practice Address - Fax:913-328-4604
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9060104100000X
KS5161LSCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098080COtherSED WAIVER
KS100098080AMedicaid
KS3620000Medicare UPIN
KS100098080AMedicaid