Regina Louise Gronewoller, LMSW

Individual provider Active NPI Social Worker · Onaga, KS

NPI 1700197993 · NPPES record last updated Jun 23, 2010

Key facts

NPI
1700197993
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
7773 (KS)
Practice address
19855 Neuchatel Rd
Onaga, KS 66521-9812
Phone
(785) 456-3532
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7773KSMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7773 KS Yes

Addresses

Primary practice location

19855 Neuchatel Rd
Onaga, KS 66521-9812

Mailing address

19855 Neuchatel Rd
Onaga, KS 66521-9812
Phone (785) 456-3532

Other providers in Onaga, KS

All providers in Onaga, KS · Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.