Provider Demographics
NPI:1003085556
Name:GANZ, JOANNAH GINSBUR (MSW, DSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:JOANNAH
Middle Name:GINSBUR
Last Name:GANZ
Suffix:
Gender:F
Credentials:MSW, DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10193 THUNDER RUN
Mailing Address - Street 2:
Mailing Address - City:ROXBOROUGH
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9019
Mailing Address - Country:US
Mailing Address - Phone:214-842-9794
Mailing Address - Fax:214-357-4001
Practice Address - Street 1:3050 RICHARD ALLEN CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4965
Practice Address - Country:US
Practice Address - Phone:214-842-9794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99262691041C0700X
TX68097104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker