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 today at 11:47 AM.

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