Provider Demographics
NPI:1952418584
Name:WEBB, RAEMONA LYNN (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:RAEMONA
Middle Name:LYNN
Last Name:WEBB
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 1:3649 SW BURLINGAME RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2051
Mailing Address - Country:US
Mailing Address - Phone:785-266-6751
Mailing Address - Fax:785-266-4533
Practice Address - Street 1:3649 SW BURLINGAME RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2051
Practice Address - Country:US
Practice Address - Phone:785-266-6751
Practice Address - Fax:785-266-4533
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS36281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical