Provider Demographics
NPI:1730158742
Name:MCKAMY, ELIZABETH H (LSCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
Last Name:MCKAMY
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 SW BURLINGAME RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2053
Mailing Address - Country:US
Mailing Address - Phone:785-267-0156
Mailing Address - Fax:785-267-0156
Practice Address - Street 1:3600 SW BURLINGAME RD
Practice Address - Street 2:SUITE A
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2053
Practice Address - Country:US
Practice Address - Phone:785-267-0156
Practice Address - Fax:785-267-0156
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS041485OtherBCBS
KSP00105233833OtherRAILROAD MEDICARE
KSP00105233833OtherRAILROAD MEDICARE