Provider Demographics
NPI:1821391046
Name:SCHWENDINGER, KATE M (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:M
Last Name:SCHWENDINGER
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2398 W ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-1384
Mailing Address - Country:US
Mailing Address - Phone:913-709-0120
Mailing Address - Fax:417-862-8659
Practice Address - Street 1:2124 W CHESTERFIELD BLVD STE D102
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-8648
Practice Address - Country:US
Practice Address - Phone:417-862-2273
Practice Address - Fax:417-862-8659
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical