Provider Demographics
NPI:1700585338
Name:MCCOWAN, ADENA L (LMSW)
Entity Type:Individual
Prefix:
First Name:ADENA
Middle Name:L
Last Name:MCCOWAN
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 1:2501 E CENTRAL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3344
Mailing Address - Country:US
Mailing Address - Phone:316-684-4673
Mailing Address - Fax:316-684-0937
Practice Address - Street 1:2501 E CENTRAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3344
Practice Address - Country:US
Practice Address - Phone:316-684-4673
Practice Address - Fax:316-684-0937
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker