Provider Demographics
NPI:1730255092
Name:CARPENTER, HEATHER ANNE (MSW, LCSW, LSCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANNE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MSW, LCSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 W 110TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2331
Mailing Address - Country:US
Mailing Address - Phone:913-327-7505
Mailing Address - Fax:913-327-7054
Practice Address - Street 1:8400 W 110TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2331
Practice Address - Country:US
Practice Address - Phone:913-327-7505
Practice Address - Fax:913-327-7054
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0029401041C0700X
KS14731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical