Provider Demographics
NPI:1225568496
Name:O'BRIEN, RICHARD JAMES (LMSW)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JAMES
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:KS
Mailing Address - Zip Code:66075-4095
Mailing Address - Country:US
Mailing Address - Phone:913-352-8214
Mailing Address - Fax:
Practice Address - Street 1:505 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:KS
Practice Address - Zip Code:66075-4095
Practice Address - Country:US
Practice Address - Phone:913-352-8214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical