Organization · Type 2 NPI
Village Lake LLC
Clinical Social Worker · Ks, KS
Practice location
345 Riverview St. #730, Wichita
Ks, KS 67203
Mailing address
3701 E Haven Dr
Derby, KS 67037-7041
Other practice locations
- 3701 E Haven Dr, Derby, KS 67037-7041 · (316) 284-7730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: 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 interpers…
About NPI 1326897067
Village Lake LLC's National Provider Identifier is 1326897067, issued on May 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ks, KS. The record was last updated on Aug 1, 2026.