Coblentz Swan, Kristin Anne

Coblentz Swan, Kristin Anne is an sole proprietor health care provider with primary practice located at 7001 Blue Ridge Blvd , Raytown MO 64133-5629. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Coblentz Swan, Kristin Anne can be contacted via phone (816) 966-0900.

Contact Information

Primary practice address
7001 Blue Ridge Blvd Raytown MO 64133-5629
Phone: (816) 966-0900
Fax: (816) 347-3029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 4902 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2004032834 Missouri

Profile Details

NPI number 1407987662
LBN Legal business name Coblentz Swan, Kristin Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Dec 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407987662 NPPES
Missouri MEDICAID 498735109

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