Provider Demographics
NPI:1851480867
Name:SCHWINGHAMMER, KATHY SUSAN (LCMFT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:SUSAN
Last Name:SCHWINGHAMMER
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:SUSAN
Other - Last Name:SCHWINGHAMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMFT
Mailing Address - Street 1:1924 S CAPRI CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5172
Mailing Address - Country:US
Mailing Address - Phone:131-665-8197
Mailing Address - Fax:
Practice Address - Street 1:7829 E. ROCKHILL ST
Practice Address - Street 2:SUITE 305
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206
Practice Address - Country:US
Practice Address - Phone:316-869-2888
Practice Address - Fax:316-425-5550
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS856106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098100AMedicaid