Individual
MS. JERRI L. TREGELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW
Contact information
Practice address
7180 W 107TH ST, OVERLAND PARK, KS 66212-2552
(913) 634-0424
(913) 397-7222
Mailing address
12506 NOLAND ST, OVERLAND PARK, KS 66213-5031
(913) 634-0424
(913) 397-7222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006164
MO
1041C0700X
Clinical Social Worker
Primary
1862
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35893012
BCBS
KS
01
—
566085
VALUE OPTIONS
KS
Enumeration date
01/19/2007
Last updated
07/08/2007
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