Provider Demographics
NPI:1053931378
Name:DUNSETH, ANDREA (LMSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:DUNSETH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9210 BELINDER RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1873
Mailing Address - Country:US
Mailing Address - Phone:913-827-3440
Mailing Address - Fax:
Practice Address - Street 1:9210 BELINDER RD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1873
Practice Address - Country:US
Practice Address - Phone:913-824-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20190148961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical