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Provider Information for 1710461793


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ANGELA M SHEFFLER LCSW


Sex: Female

NPI: 1710461793
Last Updated: 2021-05-18
Certification Date: 2021-05-18

Details

NameValue
NPI1710461793
Enumeration Date2018-09-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 12900 E 249TH ST
PECULIAR, MO 64078-8935
United States

Phone: 816-406-4204 | Fax:
 
Primary Practice Address 8150 WORNALL RD
KANSAS CITY, MO 64114-5806
United States

Phone: 816-508-3500 | Fax:816-508-3535
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker MO2017042399
Yes 1041C0700X - Social Worker - ClinicalMO2021008476