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MIND SHIELD AND SWORD THERAPY, LLC
NPI 1467181024
Social Worker - Clinical in Lees Summit, MO

Active since June 08, 2022
905 NE RICE RD STE B, LEES SUMMIT, MO 64086(816) 223-8522 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mind Shield And Sword Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND SHIELD AND SWORD THERAPY, LLC (NPI 1467181024) is a healthcare organization registered as a clinical in Lees Summit, Missouri and active in the NPI registry since June 2022. The organization lists Dereik Lance Domerese, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1467181024
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND SHIELD AND SWORD THERAPY, LLC
Location Address905 NE RICE RD STE BLees Summit, MO 64086-6300
Mailing Address2410 Sw State Route 150Lees Summit, MO 64082-2903 · (816) 223-8522
Phone(816) 223-8522
Organization SubpartNo
Authorized OfficialDereik Lance DomereseOwner/member · (816) 223-8522
Enumeration DateJune 8, 2022
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1467181024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
905 NE RICE RD STE B, Lees Summit, MO 64086
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREIK LANCE DOMERESE LCSW
Social Worker (Clinical)
905 NE RICE RD STE B
LEES SUMMIT, MO 64086
Jackson County (816) 223-8522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Shield And Sword Therapy, LLC's NPI number?

The NPI number for Mind Shield And Sword Therapy, LLC is 1467181024. It was assigned to this organization in the NPPES registry on June 8, 2022.

Where is Mind Shield And Sword Therapy, LLC located?

Mind Shield And Sword Therapy, LLC is located at 905 NE Rice Rd Ste B, Lees Summit, MO 64086. The listed phone number is (816) 223-8522.

What is Mind Shield And Sword Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mind Shield And Sword Therapy, LLC was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.