Provider Demographics
NPI:1124084215
Name:LERNER, BILLIE DALE (LSCSW)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:DALE
Last Name:LERNER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 BARKLEY
Mailing Address - Street 2:210
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1838
Mailing Address - Country:US
Mailing Address - Phone:913-642-4300
Mailing Address - Fax:913-642-4362
Practice Address - Street 1:10050 BARKLEY
Practice Address - Street 2:210
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1838
Practice Address - Country:US
Practice Address - Phone:913-642-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12461041C0700X
MO14501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSA522352BMedicare ID - Type Unspecified