Provider Demographics
NPI:1871148650
Name:MCFALLS, J RENAE
Entity type:Individual
Prefix:
First Name:J RENAE
Middle Name:
Last Name:MCFALLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 SW CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-1756
Mailing Address - Country:US
Mailing Address - Phone:785-291-9644
Mailing Address - Fax:
Practice Address - Street 1:2121 SW CHELSEA DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1756
Practice Address - Country:US
Practice Address - Phone:785-291-9644
Practice Address - Fax:888-977-1591
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker