MEDICARE: DIANE CAROL HUGHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5191	KS
2	104100000X	Social Worker	10014	KS

General Provider Information

NPI Number	:	1659721488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE CAROL HUGHES

Provider Business Mailing Address
First Line	:	1552 LEGEND TRAIL DR UNIT A
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2573
Country	:	US
Telephone Number	:	785-347-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	1552 LEGEND TRAIL DR UNIT A
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2573
Country	:	US
Telephone Number	:	785-347-5891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	01/21/2026

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Directions to “ DIANE CAROL HUGHES ” Practice Location

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