Active NPI
Ilene Beth Grunspan, LSCSW, CEAP
- Clinical Social Worker
- Leawood, KS
National Provider Identifier
1306177696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1880
- Practice address
- 11111 Nall Ave
Suite 103
Leawood, KS 66211-1924 - Phone
- (913) 832-0366
- Fax
- (913) 342-0066
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1880 | KS | Primary |
Addresses
Primary practice location
11111 Nall Ave
Suite 103
Leawood, KS 66211-1924
Mailing address
12618 Slater St
Overland Park, KS 66213-4721
Phone (913) 832-0366
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1880 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1306177696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12618 SLATER ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662134721",
"telephone_number": "913-832-0366",
"fax_number": "913-342-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 NALL AVE",
"address_2": "SUITE 103",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111924",
"telephone_number": "913-832-0366",
"fax_number": "913-342-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNSPAN",
"first_name": "ILENE",
"middle_name": "BETH",
"credential": "LSCSW, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.