Provider Demographics
NPI:1003803800
Name:CLAXTON, CYNTHIA LANN (LSCSW, LCAC, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LANN
Last Name:CLAXTON
Suffix:
Gender:F
Credentials:LSCSW, LCAC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N MUR LEN RD STE 11A
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5425
Mailing Address - Country:US
Mailing Address - Phone:816-517-7231
Mailing Address - Fax:
Practice Address - Street 1:601 N MUR LEN RD STE 11A
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5425
Practice Address - Country:US
Practice Address - Phone:816-517-7231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2025-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040302091041C0700X
KSLCAC516101YA0400X
KSLSCSW39991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)