Provider Demographics
NPI:1386965168
Name:BROWN, GINGER ELIZABETH (LSCSW)
Entity type:Individual
Prefix:MS
First Name:GINGER
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:405 CLAIRBORNE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:913-764-5463
Mailing Address - Fax:913-764-4160
Practice Address - Street 1:405 CLAIRBORNE
Practice Address - Street 2:SUITE #1
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062
Practice Address - Country:US
Practice Address - Phone:913-764-5463
Practice Address - Fax:913-764-4160
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS22211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200672140AMedicaid