Provider Demographics
NPI:1750691473
Name:CALVERT, JESSICA RACHEL (LSCSW)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:RACHEL
Last Name:CALVERT
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7131 W 135TH ST # 1169
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-1238
Mailing Address - Country:US
Mailing Address - Phone:913-355-6820
Mailing Address - Fax:913-490-1904
Practice Address - Street 1:19655 W 105TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7516
Practice Address - Country:US
Practice Address - Phone:913-710-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170443201041C0700X
KS057391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical