Provider Demographics
NPI:1871599167
Name:HUEY, LARRY L (LSCSW)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:L
Last Name:HUEY
Suffix:
Gender:M
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 SW 28TH ST
Mailing Address - Street 2:STE F
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2302
Mailing Address - Country:US
Mailing Address - Phone:785-272-2266
Mailing Address - Fax:785-273-9972
Practice Address - Street 1:5040 SW 28TH ST
Practice Address - Street 2:STE F
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2302
Practice Address - Country:US
Practice Address - Phone:785-272-2266
Practice Address - Fax:785-273-9972
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 12121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS011502OtherBLUE CROSS BLUE SHIELD
KS011502OtherBLUE CROSS BLUE SHIELD