| Mr Derrick Lance Hurst, LSCSW | |
|
21350 W 153rd St, Olathe, KS 66061-5413 | |
| (913) 322-2400 | |
| (913) 621-5730 |
| Full Name | Mr Derrick Lance Hurst |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 21350 W 153rd St, Olathe, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629258744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4366 (Kansas) | Primary |
| 104100000X | Social Worker | 6866 (Kansas) | Secondary |
| Entity Name | Level Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982378220 PECOS PAC ID: 0244634293 Enrollment ID: O20210812001950 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derrick Lance Hurst, LSCSW 21350 W 153rd St, Olathe, KS 66061-5413 Ph: (913) 322-2400 | Mr Derrick Lance Hurst, LSCSW 21350 W 153rd St, Olathe, KS 66061-5413 Ph: (913) 322-2400 |
Megan Lynn Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15130 W 132nd St, Olathe, KS 66062 Phone: 913-609-0705 | |
Mrs. Cynthia Lann Claxton, LSCSW, LCAC, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 601 N Mur Len Rd Ste 11a, Olathe, KS 66062 Phone: 816-517-7231 | |
Mr. Lawrence P Lehman, ACSW/LSCSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 N Mur Len Rd, Suite 6, Olathe, KS 66062 Phone: 913-390-8719 Fax: 913-390-8719 | |
Mrs. Cassandra F Deforest, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Erin Stucky, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Mrs. Megan Lee Hosterman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 | |
Mr. Karlous U Kalu, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21350 W 153rd St, Olathe, KS 66061 Phone: 913-322-2400 Fax: 913-621-5730 |