Organization Active NPI

Patricia Denton-Edwards LLC

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1316372600
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4108 Issued in KS
Legal business name
PATRICIA DENTON-EDWARDS LLC
Practice address
5706 Saddle Rock Rd
Manhattan, KS 66503-9701
Phone
(785) 477-0300
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patricia Denton-Edwards, DSW, LSCSW, LCACNPI 1831137736
Title
Sole Proprietor
Phone
(785) 477-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 90 KS
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 4108 KS Primary

Addresses

Primary practice location

5706 Saddle Rock Rd
Manhattan, KS 66503-9701

Mailing address

5706 Saddle Rock Rd
Manhattan, KS 66503-9701
Phone (785) 477-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150810000407 KS Part B Supplier - Clinic/Group Practice 2668786336 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Locations

2304 Skyvue Ln
Manhattan, KS 66502
Phone (785) 320-5505

217 Southwind Pl
Ste 101
Manhattan, KS 66503
Phone (785) 201-9930

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1316372600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 SADDLE ROCK RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665039701",
            "telephone_number": "785-477-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 SADDLE ROCK RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665039701",
            "telephone_number": "785-477-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA DENTON-EDWARDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "DENTON-EDWARDS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "785-477-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LSCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "90",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.