Healthcare Provider Details

I. General information

NPI: 1124938592
Provider Name (Legal Business Name): HUNTER JOSEPH GINAVAN LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 NE RICE RD
LEES SUMMIT MO
64086-5849
US

IV. Provider business mailing address

1555 NE RICE RD
LEES SUMMIT MO
64086-5849
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-3200
  • Fax:
Mailing address:
  • Phone: 816-347-3069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14974
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2026029814
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: