Provider Demographics
NPI:1770629081
Name:ZEILER, KATHLEEN MARIE (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARIE
Last Name:ZEILER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MS
Other - First Name:KATHIE
Other - Middle Name:
Other - Last Name:ZEILER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:501 W LEXINGTON
Mailing Address - Street 2:SUITE A
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64050-6000
Mailing Address - Country:US
Mailing Address - Phone:816-806-9173
Mailing Address - Fax:816-512-7627
Practice Address - Street 1:501 W LEXINGTON
Practice Address - Street 2:SUITE A
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64050-6000
Practice Address - Country:US
Practice Address - Phone:816-806-9173
Practice Address - Fax:816-512-7627
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0028711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
117347OtherVALUE OPTIONS