Larson, Tracy

Larson, Tracy is an individual health care provider with primary practice located at 1919 N Amidon Ave Ste. 100, Wichita KS 67203-2117. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Larson, Tracy can be contacted via phone (316) 660-7540.

Contact Information

Primary practice address
1919 N Amidon Ave Ste. 100 Wichita KS 67203-2117
Phone: (316) 660-7540
Fax: (316) 660-7588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5726 Kansas

Profile Details

NPI number 1447203278
LBN Legal business name Larson, Tracy
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 13th, 2026 - about 3 months 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 1447203278 NPPES
Kansas Other 8680 PREFERRED HEALTH SYSTEMS
Kansas Other 200919 PREFERRED HEALTH SYSTEMS

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