MEDICARE: KATHLEEN ANNE MCGRATH LSCSW

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	LSCSW4944	KS

General Provider Information

NPI Number	:	1780114991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ANNE MCGRATH LSCSW

Provider Business Mailing Address
First Line	:	6265 ROCK CHALK DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-5232
Country	:	US
Telephone Number	:	913-327-7505
Fax Number	:	913-327-7054

Provider Business Practice Location Address
First Line	:	6265 ROCK CHALK DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-5232
Country	:	US
Telephone Number	:	913-327-7505
Fax Number	:	913-327-7054

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

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	05/12/2026

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