Provider Demographics
NPI:1396219762
Name:KAPLAN, GINNA K (LCSW)
Entity Type:Individual
Prefix:
First Name:GINNA
Middle Name:K
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GINNA
Other - Middle Name:
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:862 DALMALLEY LN
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-7931
Mailing Address - Country:US
Mailing Address - Phone:214-213-2661
Mailing Address - Fax:
Practice Address - Street 1:600 E JOHN CARPENTER FWY
Practice Address - Street 2:STE 279
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4322
Practice Address - Country:US
Practice Address - Phone:214-213-2661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-17
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX609921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical