Provider Demographics
NPI:1407605652
Name:SALDANA, JORGE (LMSW)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:SALDANA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 CRABAPPLE CT # 32
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-8842
Mailing Address - Country:US
Mailing Address - Phone:224-201-6861
Mailing Address - Fax:
Practice Address - Street 1:201 E LAUREL ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5538
Practice Address - Country:US
Practice Address - Phone:224-201-6861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13673104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker