Provider Demographics
NPI:1891856431
Name:IYER, LINDA MARY (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARY
Last Name:IYER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:MARY
Other - Last Name:PROCOPIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14816 SOUTH BRADLEY DRIVE
Mailing Address - Street 2:16600 W 126TH ST
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:913-829-5201
Mailing Address - Fax:913-829-5399
Practice Address - Street 1:16600 W 126TH ST
Practice Address - Street 2:VILLA ST FRANCIS
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062
Practice Address - Country:US
Practice Address - Phone:913-829-5201
Practice Address - Fax:913-829-5399
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS25031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical