Individual
PATRICK REGAN SCANTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3100 BROADWAY BLVD, 410, KANSAS CITY, MO 64111-2658
(816) 753-3333
Mailing address
10107 CENTRAL ST APT 307, KANSAS CITY, MO 64114-4683
(816) 943-6386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004832
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497990747
—
MO
01
—
C168483
MEDICARE B WHEATLANDS
MO
Enumeration date
01/29/2006
Last updated
07/14/2014
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