Provider Demographics
NPI:1295447738
Name:BURNS, JANA LYNNE (LMSW)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:LYNNE
Last Name:BURNS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:LYNNE
Other - Last Name:BERSTED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14201 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4125
Mailing Address - Country:US
Mailing Address - Phone:913-669-8037
Mailing Address - Fax:
Practice Address - Street 1:14251 NALL AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2984
Practice Address - Country:US
Practice Address - Phone:913-601-7133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9535104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker