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Contact Information

JENNIFER GILLENWATER, LMSWT, LAC
128 S CONSTITUTION ST
EMPORIA, KS66801-4621
 Phone: 620-366-9444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JENNIFER GILLENWATER · (Female)

NPI Number 1134983182
Status Active
Credentials LMSWT, LAC
Entity Individual
Enumeration date 02/09/2024
Last updated 02/09/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 01751
  • KS License # 13485-T
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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