Individual provider Active NPI

Patricia Denton-Edwards, LMSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1831137736
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4108 Issued in KS
Practice address
5706 Saddle Rock Rd
Manhattan, KS 66503-9701
Phone
(785) 477-0300
NPI assigned
Jun 3, 2006
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4108 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 90 KS

Addresses

Primary practice location

5706 Saddle Rock Rd
Manhattan, KS 66503-9701

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
070062OtherKSBCBS NUMBER

Other names 1

  • Patricia Denton-Vasquez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810000545 KS Practitioner - Clinical Social Worker 6901125988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 Skyvue LN
Manhattan, KS 66502-3178
Phone (785) 320-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Denton-Edwards LLC Addiction (Substance Use Disorder) CurrentSince Apr 10, 2015 Accepting new patients

Locations

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

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1831137736",
    "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": "66503",
            "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": {
        "last_name": "DENTON-EDWARDS",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4108",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "90",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "070062",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DENTON-VASQUEZ",
            "credential": "LBSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.