Provider Demographics
NPI:1649006313
Name:BIEBERLE, KAYCEE (LMSW)
Entity type:Individual
Prefix:
First Name:KAYCEE
Middle Name:
Last Name:BIEBERLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CLAFLIN
Mailing Address - State:KS
Mailing Address - Zip Code:67525-2522
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:221 3RD ST
Practice Address - Street 2:
Practice Address - City:CLAFLIN
Practice Address - State:KS
Practice Address - Zip Code:67525-2522
Practice Address - Country:US
Practice Address - Phone:620-617-5573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13347104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker