Dereik Lance Domerese LMSW

  • NPI 1760927586
According to our database, the NPI number for Dereik Lance Domerese LMSW is 1760927586 and activated since 7 years ago. Dereik Lance Domerese LMSW is an individual provider who specializes in Clinical, and the primary practice location is 529 Se 2nd St, Lees Summit, MO 64063. You can also contact Dereik Lance Domerese LMSW via telephone number is (816) 581-3737. Provider NPI information was last updated on 01/03/2017.

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Overview of Dereik Lance Domerese LMSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/03/2017
  • Last updated: 01/03/2017

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 10198
  • License State: KS

Provider Mailing Address

  • Address: 529 Se 2nd St
    Lees Summit, MO 64063
  • Phone: 816-581-3737
  • Fax: 816-581-3738

Provider Practice Location

  • Address: 529 Se 2nd St
    Lees Summit, MO 64063
  • Phone: 816-581-3737
  • Fax: 816-581-3738

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 10198
  • License State: KS
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dereik Lance Domerese LMSW?
  • A: The npi number for Dereik Lance Domerese LMSW is 1760927586.
  • Q: What are Dereik Lance Domerese LMSW's specialties?
  • A: Dereik Lance Domerese LMSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Dereik Lance Domerese LMSW?
  • A: The medical license number for Dereik Lance Domerese LMSW is 10198 and issued in KS in USA.
  • Q: Where is Dereik Lance Domerese LMSW practice location?
  • A: Dereik Lance Domerese LMSW is practicing at 529 Se 2nd St, Lees Summit, MO 64063.
  • Q: How to contact Dereik Lance Domerese LMSW?
  • A: You can contact Dereik Lance Domerese LMSW via 816-581-3737.