Individual provider Active NPI

Ann S. Gabrick, LSCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1265456529
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
789 Issued in KS
Practice address
25775 W 103Rd St Ste 200
Olathe, KS 66061-7401
Phone
(913) 219-3186
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 789 KS Primary

Addresses

Primary practice location

25775 W 103Rd St Ste 200
Olathe, KS 66061-7401

Mailing address

26400 W Cedar Niles Cir
Olathe, KS 66061-7479
Phone (913) 764-1661

Other identifiers 1

IdentifierTypeStateIssuer
11337019OtherMOBLUE SHIELD OF KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
789KSMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1265456529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W CEDAR NILES CIR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617479",
            "telephone_number": "913-764-1661",
            "fax_number": "913-764-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 W 103RD ST STE 200",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617401",
            "telephone_number": "913-219-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRICK",
        "first_name": "ANN",
        "middle_name": "S.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC",
            "identifier": "11337019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.