MEDICARE: GAYLE ERIKSON-LANEY 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	002684	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508062613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAYLE ERIKSON-LANEY LCSW

Provider Business Mailing Address
First Line	:	3809 NW 63RD TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2717
Country	:	US
Telephone Number	:	816-914-7378
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 NW TIFFANY SPRINGS PKWY STE 320
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-1387
Country	:	US
Telephone Number	:	816-500-1355
Fax Number	:	816-569-6797

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	07/19/2024

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