Provider Demographics
NPI:1700237104
Name:SUTTON, ANGELA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SUTTON
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 1:2080 29TH RD
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:KS
Mailing Address - Zip Code:67546-8622
Mailing Address - Country:US
Mailing Address - Phone:316-213-3863
Mailing Address - Fax:
Practice Address - Street 1:1716 E 30TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1230
Practice Address - Country:US
Practice Address - Phone:316-213-3863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10076104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker