Individual provider · Type 1 NPI

Elizabeth Ann Wine, LSCSW

Clinical Social Worker · Wichita, KS

NPI number 1760680920 Active

Practice location

350 S Broadway St
Wichita, KS 67202-4304

Call (316) 660-9600 Map

Fax (316) 660-9669

Mailing address

635 N Main St
Wichita, KS 67203-3602

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6830 (KS)
Clinical Social Worker Primary 1041C0700X4241 (KS)

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…

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About NPI 1760680920

Elizabeth Ann Wine, LSCSW's National Provider Identifier is 1760680920, issued on Jul 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on May 28, 2015.