Provider Demographics
NPI:1992122584
Name:SKIRVEN, LYNN MICHELLE (LICSW, LSCSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:MICHELLE
Last Name:SKIRVEN
Suffix:
Gender:F
Credentials:LICSW, LSCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 E FRONTAGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1654
Mailing Address - Country:US
Mailing Address - Phone:913-789-1900
Mailing Address - Fax:913-789-1901
Practice Address - Street 1:7301 E FRONTAGE RD STE 100
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-1654
Practice Address - Country:US
Practice Address - Phone:913-789-1900
Practice Address - Fax:913-789-1901
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240315161041C0700X
WALW609456971041C0700X
KS065061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical