Individual
BRENT RICHARD IDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 513-5098
Mailing address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 513-5098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4374
KS
1041C0700X
Clinical Social Worker
7784
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004584400003
—
KS
Enumeration date
07/09/2010
Last updated
07/13/2026
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