Michael Granoff, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1241 Issued in KS

Practice address

4200 Somerset Dr
Ste 254
Prairie Village, KS 66208-5213

Phone

(913) 677-2277

Fax

(913) 491-8448

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Kansas School of Med (KC/Wich/Sal), 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathleen J. Keenan, PH.D., L.L.C.

  • Counseling Psychologist
  • Overland Park, KS
  • NPI 1346579745
  NPD (past)
• Midwest Psychiatric PA

  • Psychiatry Physician
  • Prairie Village, KS
  • NPI 1154535060
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1992865307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 252",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "66205",
            "telephone_number": "913-677-2277",
            "fax_number": "913-677-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOMERSET DR",
            "address_2": "STE 254",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085213",
            "telephone_number": "913-677-2277",
            "fax_number": "913-491-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOFF",
        "first_name": "MICHAEL",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1241",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "006065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200400620A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "29164021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Ashley Godfrey, MD
• Amber Goeglein
• Mara Gonzalez
• Mark J Gordon, DDS
• Shari Grady, PHD
• Colin James Gransbery, R.N.
• Grant R Smith DDS PA
• Miles Greenwald, MD
• Stephen Greer, LPC
• Brenda Marie Grigsby

• All providers in Prairie Village, KS
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.