Julie Michelle Gary, LSCSW

Individual provider Active NPI Clinical Social Worker · Fort Leavenworth, KS

NPI 1356697486 · NPPES record last updated Oct 23, 2024

Key facts

NPI
1356697486
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
4629 (KS)
Practice address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone
(913) 684-6774
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4629KSMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4629 KS Yes

Addresses

Primary practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6774

Other providers in Fort Leavenworth, KS

All providers in Fort Leavenworth, KS · Clinical Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.