Individual
MR. JOHN RICHARD DECARLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
10411 W 145TH TER, OVERLAND PARK, KS 66221-2550
(913) 499-8096
Mailing address
10411 W 145TH TER, OVERLAND PARK, KS 66221-2550
(913) 499-8096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13115
MD
1041C0700X
Clinical Social Worker
Primary
2010038259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710172457
—
MD
05
—
1710172457
—
MO
Enumeration date
09/06/2007
Last updated
03/01/2011
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