Provider Demographics
NPI:1982335253
Name:JOST, FABIANA (LMSW)
Entity Type:Individual
Prefix:
First Name:FABIANA
Middle Name:
Last Name:JOST
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 1:208 E B ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:KS
Mailing Address - Zip Code:67063-1702
Mailing Address - Country:US
Mailing Address - Phone:620-877-0341
Mailing Address - Fax:
Practice Address - Street 1:301 N MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-3460
Practice Address - Country:US
Practice Address - Phone:316-804-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-18
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12603104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker