Basic Information
| Provider Information | |||||||||
| NPI: | 1740540483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GLEICHMAN | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | LSCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6155 OAK ST | ||||||||
| Address2: | SUITE E | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641132240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8163330606 | ||||||||
| FaxNumber: | 8165235418 | ||||||||
| Practice Location | |||||||||
| Address1: | 6155 OAK ST | ||||||||
| Address2: | SUITE E | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641132240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8163330606 | ||||||||
| FaxNumber: | 8165235418 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2012 | ||||||||
| LastUpdateDate: | 05/28/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 0651 | KS | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.