Provider Demographics
NPI:1396428926
Name:KAYS, LORI KRISTINE (LCSW, LSCSW)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:KRISTINE
Last Name:KAYS
Suffix:
Gender:F
Credentials:LCSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19911 E 215TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-4243
Mailing Address - Country:US
Mailing Address - Phone:816-315-3554
Mailing Address - Fax:
Practice Address - Street 1:19911 E 215TH ST
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-4243
Practice Address - Country:US
Practice Address - Phone:816-315-3554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS058391041C0700X, 1041S0200X
MO20220320571041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool