Stephanie Ganns, LCSW

Individual provider Active NPI Clinical Social Worker · Highland Heights, KY

NPI 1902235336 · NPPES record last updated Aug 23, 2016

Key facts

NPI
1902235336
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
252198 (KY)
Practice address
2816 Bluegrass Dr
Highland Heights, KY 41076-1577
Phone
(859) 442-8500
Fax
(859) 442-8555
NPI assigned
Nov 6, 2013
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)
No

State licenses

LicenseStateTypeSpecialty
252198KYMDClinical Social Worker
4505KYMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4505 KY
Clinical Social Worker 1041C0700X 252198 KY Yes

Addresses

Primary practice location

2816 Bluegrass Dr
Highland Heights, KY 41076-1577

Mailing address

2816 Bluegrass Dr
Highland Heights, KY 41076-1577
Phone (859) 442-8500

Other providers in Highland Heights, KY

All providers in Highland Heights, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.