Provider Demographics
NPI:1750463055
Name:YARNEVICH, ANNE E (LSCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:E
Last Name:YARNEVICH
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:BEESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW
Mailing Address - Street 1:5346 BELINDER RD
Mailing Address - Street 2:
Mailing Address - City:FAIRWAY
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2631
Mailing Address - Country:US
Mailing Address - Phone:913-831-0925
Mailing Address - Fax:913-831-0925
Practice Address - Street 1:5346 BELINDER RD
Practice Address - Street 2:
Practice Address - City:FAIRWAY
Practice Address - State:KS
Practice Address - Zip Code:66205-2631
Practice Address - Country:US
Practice Address - Phone:913-831-0925
Practice Address - Fax:913-831-0925
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW #2364104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS29288025OtherBCBS KC
KS29288025OtherBCBS KC