Provider Demographics
NPI:1215216486
Name:POST, SPENCER D (LSCSW)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:D
Last Name:POST
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 E DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3314
Mailing Address - Country:US
Mailing Address - Phone:316-272-0077
Mailing Address - Fax:316-941-8090
Practice Address - Street 1:3310 E DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208
Practice Address - Country:US
Practice Address - Phone:316-371-6433
Practice Address - Fax:316-941-8090
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8121104100000X
KS062581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200739970BMedicaid