Provider Demographics
NPI:1063436376
Name:OGAN, GEORGE STEPHEN (LMSW)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:STEPHEN
Last Name:OGAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:IRWIN ARMY COMMUNITY HOSPITAL, 600 CAISSON HILL ROAD,
Mailing Address - Street 2:ASAP
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-5037
Mailing Address - Country:US
Mailing Address - Phone:785-239-7311
Mailing Address - Fax:785-239-7364
Practice Address - Street 1:IRWIN ARMY COMMUNITY HOSPITAL, 600 CASSION HILL ROAD
Practice Address - Street 2:ATTN: MCXX-CLD-QM
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-5037
Practice Address - Country:US
Practice Address - Phone:785-239-7155
Practice Address - Fax:785-239-7364
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW 5381104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker