| Ms Demetri Jean Trautwein, LMSW | |
|
1301 N 47th St, Kansas City, KS 66102-1705 | |
| (913) 956-3442 | |
| Not Available |
| Full Name | Ms Demetri Jean Trautwein |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1301 N 47th St, Kansas City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972097079 | NPI | - | NPPES |
| 100980980C | Other | KS | SED WAIVER |
| 100098080A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 07017 (Kansas) | Primary |
| Entity Name | Pawnee Mental Health Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275580524 PECOS PAC ID: 3870406820 Enrollment ID: O20031106000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Demetri Jean Trautwein, LMSW 1301 N 47th St, Kansas City, KS 66102-1705 Ph: () - | Ms Demetri Jean Trautwein, LMSW 1301 N 47th St, Kansas City, KS 66102-1705 Ph: (913) 956-3442 |
Monica Lynn Shipps, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 N 47th St, Kansas City, KS 66102 Phone: 913-288-4238 Fax: 913-287-0354 | |
Tanner Marie Edwards, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 N 8th St, Kansas City, KS 66101 Phone: 913-890-7576 | |
Mrs. Twynesha Nicole Reed, LSCSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 700 Nebraska Ave, Kansas City, KS 66101 Phone: 913-951-8731 Fax: 913-426-9057 | |
Emma Jane Mumm, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-1921 Fax: 913-588-8387 | |
Kellie Elliott, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St # Ms 3005, Kansas City, KS 66160 Phone: 913-588-2160 Fax: 913-945-8022 | |
Krista Bundy, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 N 8th St, Kansas City, KS 66101 Phone: 913-278-9082 | |
Shari Ann Lanzendorf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1301 N 47th St, Kansas City, KS 66102 Phone: 913-328-4600 |