Provider Demographics
NPI:1780754242
Name:ABBATE, JO ANNE
Entity type:Individual
Prefix:MS
First Name:JO
Middle Name:ANNE
Last Name:ABBATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JO
Other - Middle Name:ANNE
Other - Last Name:LORENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSCSW
Mailing Address - Street 1:9700 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4563
Mailing Address - Country:US
Mailing Address - Phone:913-433-2061
Mailing Address - Fax:913-262-0818
Practice Address - Street 1:716 N 5TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-1404
Practice Address - Country:US
Practice Address - Phone:913-651-5261
Practice Address - Fax:913-651-9350
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS08981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000070683OtherBCBS KS
KS29948031OtherBCBS KC
KS29948031OtherBCBS KC