MEDICARE: MAUREEN GRAHAM GIRALDO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5658-C	NV
2	1041C0700X	Clinical Social Worker	4592	KS
3	1041C0700X	Clinical Social Worker	2016030321	MO

General Provider Information

NPI Number	:	1245427954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN GRAHAM GIRALDO LCSW

Provider Business Mailing Address
First Line	:	436 W 63RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-1620
Country	:	US
Telephone Number	:	702-686-1530
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 NE BARRY RD STE 220
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64158
Country	:	US
Telephone Number	:	816-415-2333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	02/11/2019

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