SHEENA SLACK (NPI# 1568998086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568998086 |
| Entity Type | Individual |
| Full Name | SHEENA SLACK |
| Credential | LMSW, LMAC, CRAADC |
| Practice Address |
30 Westwoods Dr Liberty MO 64068-3519 |
| Practice Telephone | 8167818550 |
| Mailing Telephone | 8167818550 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
100 | KS | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
8043 | MO | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 10216 | KS | Behavioral Health & Social Service Providers |
| Street Address |
30 WESTWOODS DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538857 | Ashlee Lawson | Social Worker | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2020-08-16 |
| 1780295360 | Eric Hansen | Counselor | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2020-08-16 |
| 1801413133 | Clinical Counseling Associates of Kansas City | Counselor | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2020-07-02 |
| 1922641489 | Clinical Counseling Associates, Inc. | Social Worker | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2019-10-28 |
| 1508409525 | Robinson Family Counseling, LLC | Clinic/Center | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2019-10-22 |
| 1780227058 | Laurie Lynn Carpenter | Counselor | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2019-10-19 |
| 1932686078 | Jill Robinson | Social Worker | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2018-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306344312 | Reigning Grace Counseling Center | Counselor | 28 Westwoods Dr Ste 200, Liberty, MO 64068-3519 | 2018-01-24 |
| 1104298280 | Michael Fortune | Counselor | 2800 Beaumont Ave # 1, Liberty, TX 77575-5126 | 2015-10-28 |
| 1023042561 | William Wethington | Counselor | 322 Middleburg Street, Liberty, KY 42539 | 2006-07-10 |
| 1780295360 | Eric Hansen | Counselor | 30 Westwoods Dr, Liberty, MO 64068-3519 | 2020-08-16 |
| 1558896696 | Patricia Rollins | Counselor | 2800 Beaumont Ave, Suite D1, Liberty, TX 77575-5126 | 2017-04-26 |
| 1134563497 | Jessica Marie Stanley | Counselor | 2800 Beaumont Ave, Ste. D-1, Liberty, TX 77575-5126 | 2013-04-17 |
| 1003165937 | Ruby Smith | Counselor | 2800 Beaumont Ave, Liberty, TX 77575-5126 | 2012-09-06 |
| 1508179870 | Mark A Mason | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2010-07-15 |
| 1568774412 | Juan M Dendariarena | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2010-07-08 |
| 1205090529 | Doris M Castro | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2008-07-16 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.