Individual
MARK STEPHEN GIERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1201 NW BRIARCLIFF PKWY FL 2, KANSAS CITY, MO 64116-1878
(816) 694-7194
(816) 368-0730
Mailing address
PO BOX 1383, LIBERTY, MO 64069-1383
(816) 509-9870
(816) 368-0730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000893
MO
1041C0700X
Clinical Social Worker
Primary
000893
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17544017
BCBS OF KANSAS CITY
MO
01
—
620757
UNITED BEHAVIORAL HEALTH
MO
Enumeration date
12/13/2006
Last updated
07/21/2022
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