Provider Demographics
NPI:1740452234
Name:NEVAR, AINE MARIE (LSCSW)
Entity type:Individual
Prefix:MS
First Name:AINE
Middle Name:MARIE
Last Name:NEVAR
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 1:3601 SW 29TH ST STE 117
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2015
Mailing Address - Country:US
Mailing Address - Phone:785-213-3301
Mailing Address - Fax:785-748-4800
Practice Address - Street 1:3601 SW 29TH ST STE 117
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2015
Practice Address - Country:US
Practice Address - Phone:785-213-3301
Practice Address - Fax:785-748-4800
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220721041C0700X
KS41721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12065272OtherCAQH
CA12065272OtherCAQH
CA264259142OtherCORPORATION EIN