Provider Demographics
NPI:1386401057
Name:CHANDLER, KAREN MAURI (LMSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MAURI
Last Name:CHANDLER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MAURI
Other - Last Name:STOUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2416 W HADDEN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-1737
Mailing Address - Country:US
Mailing Address - Phone:316-990-0765
Mailing Address - Fax:
Practice Address - Street 1:820 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3605
Practice Address - Country:US
Practice Address - Phone:316-202-7051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12480104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker