Provider Demographics
NPI:1871528075
Name:EAST, AARON R (LMSW, LSCSW)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:R
Last Name:EAST
Suffix:
Gender:M
Credentials:LMSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 E 30TH AVE
Mailing Address - Street 2:STE B
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-1230
Mailing Address - Country:US
Mailing Address - Phone:620-200-3346
Mailing Address - Fax:620-259-6621
Practice Address - Street 1:406 ROBERT ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-3058
Practice Address - Country:US
Practice Address - Phone:620-200-3346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6316104100000X
KS40141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker