Provider Demographics
NPI:1831137736
Name:DENTON-EDWARDS, PATRICIA (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:DENTON-EDWARDS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:DENTON-VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSE
Mailing Address - Street 1:5706 SADDLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503
Mailing Address - Country:US
Mailing Address - Phone:785-477-0300
Mailing Address - Fax:
Practice Address - Street 1:5706 SADDLE ROCK RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-9701
Practice Address - Country:US
Practice Address - Phone:785-477-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS41081041C0700X
KS90101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS070062OtherBCBS NUMBER