Provider Demographics
NPI:1174542393
Name:WEILER, MARGARET (LSCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:WEILER
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2908
Mailing Address - Country:US
Mailing Address - Phone:913-707-7077
Mailing Address - Fax:
Practice Address - Street 1:5201 JOHNSON DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66205-2908
Practice Address - Country:US
Practice Address - Phone:913-707-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS14681041C0700X
MOMO0009191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO28322023OtherBCBS OF KC PROVIDER #
KS70524OtherBCBS OF KS PROVIDER #
KS070524Medicare ID - Type UnspecifiedKS MEDICARE PROVIDER #
MO0006174Medicare ID - Type UnspecifiedMO MEDICARE PROVIDER #