Healthcare Provider Details

I. General information

NPI: 1457665291
Provider Name (Legal Business Name): REBECCA SUE WOODWARD LMSW, LCAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 SW OAKLEY AVE
TOPEKA KS
66606-1995
US

IV. Provider business mailing address

5401 SW 7TH ST
TOPEKA KS
66606-2330
US

V. Phone/Fax

Practice location:
  • Phone: 785-215-8888
  • Fax: 785-215-8862
Mailing address:
  • Phone: 785-215-8888
  • Fax: 785-215-8862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number601
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4331
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: