Provider Demographics
NPI:1760726913
Name:SARGENT, RICHARD E (LMSW)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:SARGENT
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 1:7240 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1209
Mailing Address - Country:US
Mailing Address - Phone:785-267-5900
Mailing Address - Fax:785-267-1224
Practice Address - Street 1:7240 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1209
Practice Address - Country:US
Practice Address - Phone:785-267-5900
Practice Address - Fax:785-267-1224
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-11
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5684104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker