Provider Demographics
NPI:1265456529
Name:GABRICK, ANN S (LSCSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:S
Last Name:GABRICK
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 1:26400 W CEDAR NILES CIR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7479
Mailing Address - Country:US
Mailing Address - Phone:913-764-1661
Mailing Address - Fax:913-764-1661
Practice Address - Street 1:25775 W 103RD ST STE 200
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7401
Practice Address - Country:US
Practice Address - Phone:913-219-3186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11337019OtherBLUE SHIELD OF KC