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Provider Information for 1316424419


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EMILY SHOSHANA ADLER LMSW


Sex: Female

NPI: 1316424419
Last Updated: 2020-11-12
Certification Date: 2020-11-12

Details

NameValue
NPI1316424419
Enumeration Date2018-07-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 300 W 19TH TER
KANSAS CITY, MO 64108-2026
United States

Phone: 816-404-5709 | Fax:816-404-5739
 
Primary Practice Address 300 W 19TH TER
KANSAS CITY, MO 64108-2026
United States

Phone: 816-404-5709 | Fax:816-404-5739
 
Secondary Practice Address(es)

1301 N 47TH ST
KANSAS CITY, KS 66102-1705
United States

Phone: 913-287-0007 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDKS100098080A
Other (non-Medicare)KS10098080CSED Waiver
Other (non-Medicare)KS3620000Medicare
MEDICAIDMO490058232
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker KS10370
Yes 104100000X - Social Worker MO2018012449