Provider Demographics
NPI:1366229627
Name:PERLINGER, GRETCHEN ROSE (LMSW)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:ROSE
Last Name:PERLINGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8944 FARLEY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4750
Mailing Address - Country:US
Mailing Address - Phone:913-909-4304
Mailing Address - Fax:
Practice Address - Street 1:6420 W 95TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1434
Practice Address - Country:US
Practice Address - Phone:913-209-6510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13361104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker