Provider Demographics
NPI:1003528654
Name:GREENHAW, BAILEE (LSCSW)
Entity Type:Individual
Prefix:
First Name:BAILEE
Middle Name:
Last Name:GREENHAW
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 W 141ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-2165
Mailing Address - Country:US
Mailing Address - Phone:913-980-5569
Mailing Address - Fax:
Practice Address - Street 1:14623 GRANT LN
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-2525
Practice Address - Country:US
Practice Address - Phone:913-980-5569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2023-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS058211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical