Provider Demographics
NPI:1538650296
Name:MCFARLAND, ANDREA LAURIN (LSCSW)
Entity type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:LAURIN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:BOYLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 N 6TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4956
Mailing Address - Country:US
Mailing Address - Phone:785-320-7134
Mailing Address - Fax:
Practice Address - Street 1:222 N 6TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4956
Practice Address - Country:US
Practice Address - Phone:785-320-7134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS053351041C0700X
KS10827104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS05335OtherLSCSW
KS10827OtherSTATE