| Tanya Hessong, Lscsw, Lcsw, Llc | |
|
9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 | |
| (913) 850-9100 | |
| Not Available |
| Full Name | Tanya Hessong, Lscsw, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9200 Indian Creek Pkwy Ste 660, Overland Park, Kansas |
| Authorized Official Name and Position | Tanya Hessong (OWNER) |
| Authorized Official Contact | 9132062906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Hessong, Lscsw, Lcsw, Llc 9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 Ph: (913) 206-2906 | Tanya Hessong, Lscsw, Lcsw, Llc 9200 Indian Creek Pkwy Ste 660 Overland Park KS 66210-2097 Ph: (913) 850-9100 |
| NPI Number | 1972272003 |
|---|---|
| Provider Enumeration Date | 09/11/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 8729470992 |
|---|---|
| Medicare Enrollment ID | O20220120000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972272003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tanya E Hessong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861541476 PECOS PAC ID: 0749389385 Enrollment ID: I20070622000553 |
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