Roberts, Stephenie Ann

Roberts, Stephenie Ann is an individual health care provider with primary practice located at 9505 W. Central Ste. 103, Wichita KS 67212-3832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roberts, Stephenie Ann can be contacted via phone (316) 721-0971.

Contact Information

Primary practice address
9505 W. Central Ste. 103 Wichita KS 67212-3832
Phone: (316) 721-0971
Fax: (316) 512-4070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1949 Kansas

Profile Details

NPI number 1083693956
LBN Legal business name Roberts, Stephenie Ann
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 13th, 2011 - about 15 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 1083693956 NPPES
Kansas MEDICAID 200277320A

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