Provider Demographics
NPI:1780658369
Name:FLOTT, DREX B (LSCSW)
Entity Type:Individual
Prefix:
First Name:DREX
Middle Name:B
Last Name:FLOTT
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2914 SW PLASS CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-1925
Mailing Address - Country:US
Mailing Address - Phone:785-266-7980
Mailing Address - Fax:785-266-8035
Practice Address - Street 1:6029 SW 29TH ST
Practice Address - Street 2:SUITE A PMB 374
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614
Practice Address - Country:US
Practice Address - Phone:785-266-7980
Practice Address - Fax:785-266-8035
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 16771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS069362OtherBCBS