Provider Demographics
NPI:1710042114
Name:SEAMAN, BRENDA K (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:K
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25041 280 RD
Mailing Address - Street 2:
Mailing Address - City:PORTIS
Mailing Address - State:KS
Mailing Address - Zip Code:67474
Mailing Address - Country:US
Mailing Address - Phone:785-346-2184
Mailing Address - Fax:
Practice Address - Street 1:209 W HARRISON
Practice Address - Street 2:
Practice Address - City:OSBORNE
Practice Address - State:KS
Practice Address - Zip Code:67473
Practice Address - Country:US
Practice Address - Phone:785-346-2184
Practice Address - Fax:785-346-2487
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW21181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS069395OtherBCBS
KS069395OtherBCBS