MRS. SUSAN LOUISE BROCKLESBY LMSW
NPI 1104417807
Counselor - Mental Health in Mulvane, KS

Active since January 27, 2021
10950 S 143RD ST E, MULVANE, KS 67110(316) 409-4782 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Susan Louise Brocklesby Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN LOUISE BROCKLESBY LMSW (NPI 1104417807) is an individual mental health provider in Mulvane, Kansas, licensed in Kansas (7572) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104417807
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SUSAN LOUISE BROCKLESBYCredential: LMSW
Location Address10950 S 143RD ST EMulvane, KS 67110-9451
Mailing Address10950 S 143rd St EMulvane, KS 67110-9451 · (316) 409-4782
Sole ProprietorNo
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1104417807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in KS · 7572
10950 S 143RD ST E, Mulvane, KS 67110

Other Names 1

Former Name (1)Susan Louise Hoggatt Lmsw

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Brocklesby's NPI number?

The NPI number for Susan Brocklesby is 1104417807. It was assigned to this individual provider in the NPPES registry on January 27, 2021. The provider is also known as Susan Louise Hoggatt Lmsw.

Where is Susan Brocklesby located?

Susan Brocklesby practices at 10950 S 143rd St E, Mulvane, KS 67110. The listed phone number is (316) 409-4782.

What is Susan Brocklesby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Susan Brocklesby was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.