Provider Demographics
NPI:1801989645
Name:STUTZMAN, CARRIE LYNN (LSCSW)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:LYNN
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:LYNN STUTZMAN
Other - Last Name:DEMONCHAUX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1409 SW COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2621
Mailing Address - Country:US
Mailing Address - Phone:785-232-6376
Mailing Address - Fax:785-235-5272
Practice Address - Street 1:325 SW FRAZIER AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1963
Practice Address - Country:US
Practice Address - Phone:785-232-5005
Practice Address - Fax:785-235-5272
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 10611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical