Provider Demographics
NPI:1902832116
Name:DRESSMAN, MARTIN J (MSW, LSCSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:J
Last Name:DRESSMAN
Suffix:
Gender:M
Credentials:MSW, LSCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 STATE LINE RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1941
Mailing Address - Country:US
Mailing Address - Phone:816-590-7950
Mailing Address - Fax:913-649-0670
Practice Address - Street 1:8900 STATE LINE RD
Practice Address - Street 2:SUITE 403
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1941
Practice Address - Country:US
Practice Address - Phone:816-590-7950
Practice Address - Fax:913-649-0670
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLCSW0032661041C0700X
KS15791041C0700X
KSLSCSW15791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSLSCSW1579OtherSOCIAL WORKER LICENSE
MOLCSW003266OtherSOCIAL WORKER LICENSE
KSLSCSW1579OtherSOCIAL WORKER LICENSE
0008832AMedicare ID - Type Unspecified