MINDY S KITTERMAN


Address: 8787 Ballentine, Suite 1200, Mill Creek Outpatient Services, Overland Park, KS 66214-1979
Phone: 9133399933

MINDY S KITTERMAN (NPI# 1841483377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841483377
Entity Type Individual
Full Name MINDY S KITTERMAN
Credential LSCSW
Practice Address 8787 Ballentine, Suite 1200
Mill Creek Outpatient Services
Overland Park
KS 66214-1979
Mailing Address 1408 N Anne Shirley Dr
Olathe
KS 66061-6790
Practice Telephone 9133399933
Practice Fax Number 9133399915
Mailing Telephone 9139042893
Enumeration Date 2007-08-17
Last Update Date 2012-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCAC 133 KS Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
MO 2010033353 MO Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
LSCSW 1575 KS Behavioral Health & Social Service Providers

Office Location

Street Address 8787 BALLENTINE, SUITE 1200
MILL CREEK OUTPATIENT SERVICES
City OVERLAND PARK
State KS
Zip Code 66214-1979

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Competitor

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City OVERLAND PARK
Zip Code 66214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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