Gina M Kangas | Milwaukee, WI • PECOS Search

Gina M Kangas

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0002

(414) 384-2000 (414) 232-0093

PECOS Enrollment

Based on the most recent information from CMS, provider Gina M Kangas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1083809800
Provider Type
Individual
Full Name
Kangas, Gina M
Title
Mrs.
Credential
L.C.S.W.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/14/2007
Last Updated
9/14/2007

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0002

Unlisted Fax

Mailing Location

3334 N Weil St, Milwaukee, WI 53212-1717

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 7242-123 Wisconsin