Individual
SHANNA S NISPEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7525
(316) 383-4590
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1859
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066218
BLUE CROSS BLUE SHIELD
KS
01
—
2129065
CIGNA
KS
01
—
4214
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
06/02/2006
Last updated
07/08/2007
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