Provider Demographics
NPI:1306904511
Name:KRAWCZYK, PATRICIA MARIE (MSW LSCSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARIE
Last Name:KRAWCZYK
Suffix:
Gender:F
Credentials:MSW LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4019 EAST 115TH STREET
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137
Mailing Address - Country:US
Mailing Address - Phone:816-761-5849
Mailing Address - Fax:816-761-5849
Practice Address - Street 1:7700 SHAWNEE MISSION PKWY
Practice Address - Street 2:SUITE 309 FULL CIRCLE COUNSELING SERVICES PATRICIA KRAW
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66202
Practice Address - Country:US
Practice Address - Phone:913-789-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical