| Catherine Grabow | |
|
10520 Barkley St Ste 140 Overland Park KS 66212-1823 | |
| (816) 679-6149 | |
| (855) 573-0890 |
| Full Name | Catherine Grabow |
|---|---|
| Speciality | Social Worker |
| Location | 10520 Barkley St Ste 140, Overland Park, Kansas |
| Authorized Official Name and Position | Catherine Grabow (OWNER) |
| Authorized Official Contact | 8166796149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Grabow 10520 Barkley St Ste 140 Overland Park KS 66212-1823 Ph: (816) 679-6149 | Catherine Grabow 10520 Barkley St Ste 140 Overland Park KS 66212-1823 Ph: (816) 679-6149 |
| NPI Number | 1124779822 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 7113394644 |
|---|---|
| Medicare Enrollment ID | O20221112000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124779822 | NPI | - | NPPES |
| 30004651940002 | Medicaid | KS | |
| 201250780B | Medicaid | KS | |
| 490081063 | Medicaid | MO | |
| 30004877980001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine C Grabow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821641713 PECOS PAC ID: 8022485556 Enrollment ID: I20221112000153 |
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