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Contact Information

KRISTIN A COBLENTZ SWAN, LCSW
7001 BLUE RIDGE BLVD
RAYTOWN, MO64133-5629
 Phone: 816-966-0900
 Fax: 816-347-3029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KRISTIN A COBLENTZ SWAN · (Female)

NPI # 1407987662
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/08/2007
Last updated 12/06/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 4902
  • MO License # 2004032834
  • MO Medicaid 498735109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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