Provider Demographics
NPI:1336346394
Name:ERIKSON, STEVEN LEE (LSCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LEE
Last Name:ERIKSON
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 1:20875 W 180TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-9257
Mailing Address - Country:US
Mailing Address - Phone:913-424-9111
Mailing Address - Fax:
Practice Address - Street 1:8001 COLLEGE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1846
Practice Address - Country:US
Practice Address - Phone:913-424-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1823106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist