Michael Granoff in Fairway - Clinical

Michael Granoff - NPI 1992865307

Michael Granoff is a Clinical in Fairway, Kansas. Michael Granoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Granoff is 1992865307. The last update date is 2016-10-12.

Michael Granoff's current location address is 4350 Shawnee Mission Pkwy, Fairway, Kansas. You can contact this provider via phone number 9136772277 and fax number 9136772229. The mailing address for Michael Granoff is 4350 Shawnee Mission Pkwy, Fairway, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Granoff
Address 4350 Shawnee Mission Pkwy, Fairway, Kansas
Phone Number 9136772277
Fax Number 9136772229
Sole Proprietor N
Credentials LSCSW

NPI Number Detail

NPI Number 1992865307
Provider Enumeration Date 2006-12-08
Last Updated Date 2016-10-12

Provider Mailing Address Detail

Address 4350 Shawnee Mission Pkwy
City Fairway
State Kansas (KS)
Post Code 66205
Phone Number 9136772277
Fax Number 9136772229

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1241
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200400620A KS --
29164021 BCBS OF KC

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FAQs about Michael Granoff

What is the unique identifier code issued to Michael Granoff by the Centers for Medicare & Medicaid Services?

The Michael Granoff has been assigned the NPI (National Provider Identifier) 1992865307. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Michael Granoff located?

The Michael Granoff is located at 4350 Shawnee Mission Pkwy, Fairway, KS 66205.

What is Michael Granoff's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Granoff is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date was the 1992865307 assigned to Michael Granoff?

The Michael Granoff was issued its 1992865307 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Michael Granoff most recently updated or revised?

The information pertaining to Michael Granoff, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-12.

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