Provider Demographics
NPI:1982981130
Name:OSBORNE-ATTEBERY, JENNIFER L (LMSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:OSBORNE-ATTEBERY
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 1:306 N ROCK RD STE 30
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2256
Mailing Address - Country:US
Mailing Address - Phone:316-371-1343
Mailing Address - Fax:
Practice Address - Street 1:306 N ROCK RD STE 30
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2256
Practice Address - Country:US
Practice Address - Phone:316-371-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
KS7311104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker