Provider Demographics
NPI:1316341704
Name:ADAIR-CARDINALE, CORI (LMSW)
Entity type:Individual
Prefix:
First Name:CORI
Middle Name:
Last Name:ADAIR-CARDINALE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W MAYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-5549
Mailing Address - Country:US
Mailing Address - Phone:316-393-8982
Mailing Address - Fax:
Practice Address - Street 1:420 W MAYWOOD ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67217-5549
Practice Address - Country:US
Practice Address - Phone:316-393-8982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS063211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical