Individual
STACEY BRENDMOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1938 N WOODLAWN ST STE 400, WICHITA, KS 67208-1875
(316) 660-9600
(316) 660-9660
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5164
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14794
PREFERRED HEALTH SYSTEMS
KS
01
—
201506
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/05/2006
Last updated
07/02/2025
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