Provider Demographics
NPI:1982576849
Name:SADDLER, JESSICA CHARITY (LSCSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:CHARITY
Last Name:SADDLER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1727
Mailing Address - Country:US
Mailing Address - Phone:719-289-8743
Mailing Address - Fax:785-734-0447
Practice Address - Street 1:302 FLEMING ST STE 5
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-6162
Practice Address - Country:US
Practice Address - Phone:719-289-8743
Practice Address - Fax:785-734-0447
Is Sole Proprietor?:No
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS39881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical