Healthcare Provider Details

I. General information

NPI: 1346691854
Provider Name (Legal Business Name): SARAH E HODGES LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 S MAIN ST
YATES CENTER KS
66783-1444
US

IV. Provider business mailing address

PO BOX 807
IOLA KS
66749-0807
US

V. Phone/Fax

Practice location:
  • Phone: 620-365-5717
  • Fax:
Mailing address:
  • Phone: 620-365-5717
  • Fax: 620-365-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07166
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: