Provider Demographics
NPI:1699135095
Name:SAWYER, KRISTIN ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:ANNE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16164 GRANADA ST
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8434
Mailing Address - Country:US
Mailing Address - Phone:913-744-1394
Mailing Address - Fax:
Practice Address - Street 1:4801 E LINWOOD BLVD # VB-627
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-861-4700
Practice Address - Fax:816-922-4830
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS46891041C0700X
MO20110413531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical