Provider Demographics
NPI:1093542854
Name:MAUER, JENNIFER REBECCA (LMSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:REBECCA
Last Name:MAUER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:MAUER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:2955 SW WANAMAKER DR STE B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5341
Mailing Address - Country:US
Mailing Address - Phone:785-438-9434
Mailing Address - Fax:316-226-8648
Practice Address - Street 1:2955 SW WANAMAKER DR STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5341
Practice Address - Country:US
Practice Address - Phone:785-438-9434
Practice Address - Fax:316-226-8648
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW12418104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker