Provider Demographics
NPI:1174131072
Name:WERTH, CALLIE (LMSW)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:WERTH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CALLIE
Other - Middle Name:
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:2717 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1610
Mailing Address - Country:US
Mailing Address - Phone:620-635-5432
Mailing Address - Fax:
Practice Address - Street 1:1401 HALL ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3753
Practice Address - Country:US
Practice Address - Phone:785-623-2510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS116681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical