Provider Demographics
NPI:1952626251
Name:SPRINGER, MARVIN EARL II (LMSW)
Entity Type:Individual
Prefix:MR
First Name:MARVIN
Middle Name:EARL
Last Name:SPRINGER
Suffix:II
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 WOODS CT
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-2127
Mailing Address - Country:US
Mailing Address - Phone:785-410-1979
Mailing Address - Fax:
Practice Address - Street 1:2310 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2967
Practice Address - Country:US
Practice Address - Phone:785-410-1979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6160104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker