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Provider Information for 1891737029


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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SCOTT P. ANSTADT LSCSW


Sex: Male

NPI: 1891737029
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1891737029
Enumeration Date2006-06-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 114 E 15TH ST
HAYS, KS 67601-3632
United States

Phone: 785-408-9611 | Fax:
 
Primary Practice Address 114 E 15TH ST
HAYS, KS 67601-3632
United States

Phone: 785-408-9611 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDAZ725129
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalKSLSCSW 3660
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)KSRAODAC 137
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)AZLISAC-10175
No 1041C0700X - Social Worker - ClinicalAZLCSW-10218