=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437387636
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA HUSS LSCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2009
-----------------------------------------------------
Last Update Date | 01/20/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3601 SW 29TH ST SUITE 216
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66614-2078
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-408-9923
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2745 SW VILLA WEST DR SUITE 2601
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66614-5232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-408-9923
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LSCSW 2173
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------