Individual
MICHAEL GRANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
4200 SOMERSET DR, STE 254, PRAIRIE VILLAGE, KS 66208-5213
(913) 677-2277
(913) 491-8448
Mailing address
4350 SHAWNEE MISSION PKWY, SUITE 252, FAIRWAY, KS 66205
(913) 677-2277
(913) 677-2229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006065
MO
1041C0700X
Clinical Social Worker
Primary
1241
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200400620A
—
KS
01
—
29164021
BCBS OF KC
—
Enumeration date
12/08/2006
Last updated
10/12/2016
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