Individual
DIANE M SADOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
111 W 2ND ST, OTTAWA, KS 66067-2212
(785) 242-8970
(785) 242-6770
Mailing address
1321 S MULBERRY ST, OTTAWA, KS 66067-3635
(785) 242-6525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC 314
KS
1041C0700X
Clinical Social Worker
Primary
LSCSW 1372
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071064
MEDICARE
KS
05
—
200428370A
—
KS
Enumeration date
07/13/2006
Last updated
10/13/2011
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