Provider Demographics
NPI:1386451235
Name:SAUNDERS, JADYN RYA (LMSW)
Entity type:Individual
Prefix:
First Name:JADYN
Middle Name:RYA
Last Name:SAUNDERS
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 1:953 N EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3155
Mailing Address - Country:US
Mailing Address - Phone:316-978-0547
Mailing Address - Fax:
Practice Address - Street 1:953 N EMERSON AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3155
Practice Address - Country:US
Practice Address - Phone:316-978-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13624104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker