Individual
MICHELLE HOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
(913) 946-1519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10871
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083015267
VETERANS AFFAIRS MEDICAL CENTER
KS
Enumeration date
07/18/2019
Last updated
10/17/2025
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