| Linda R Crenshaw Lscsw | |
| 
					Affinity Mental Wellness 7570 W 21st St North Building 1046, Suite A Wichita KS 67205  | |
| (316) 776-4766 | |
| Not Available | 
| Full Name | Linda R Crenshaw Lscsw | 
|---|---|
| Speciality | Social Worker | 
| Location | Affinity Mental Wellness 7570 W 21st St North, Wichita, Kansas | 
| Authorized Official Name and Position | Linda Crenshaw (OWNER) | 
| Authorized Official Contact | 3165190673 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Linda R Crenshaw Lscsw Po Box 20733 Wichita KS 67208-6733 Ph: (316) 519-0673  | Linda R Crenshaw Lscsw Affinity Mental Wellness 7570 W 21st St North Building 1046, Suite A Wichita KS 67205 Ph: (316) 776-4766  | 
| NPI Number | 1710646393 | 
|---|---|
| Provider Enumeration Date | 12/10/2021 | 
| Last Update Date | 04/05/2022 | 
| Certification Date | 04/05/2022 | 
| Medicare PECOS PAC ID | 4981090891 | 
|---|---|
| Medicare Enrollment ID | O20220401000483 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710646393 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary | 
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Linda R Crenshaw | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1063733921 PECOS PAC ID: 1850679895 Enrollment ID: I20161026002478  | 
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