Provider Demographics
NPI:1770205643
Name:BARTHOLOMEW, VICTORIA LYNN (LSCSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:BARTHOLOMEW
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 1:7641 WALMER ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3064
Mailing Address - Country:US
Mailing Address - Phone:913-669-4118
Mailing Address - Fax:
Practice Address - Street 1:7641 WALMER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3064
Practice Address - Country:US
Practice Address - Phone:913-669-4118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS055511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical