| Dereik Lance Domerese, LCSW | |
|
905 Ne Rice Rd Ste B, Lees Summit, MO 64086-6300 | |
| (816) 223-8522 | |
| Not Available |
| Full Name | Dereik Lance Domerese |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 905 Ne Rice Rd Ste B, Lees Summit, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760927586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10198 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2016034259 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dereik Lance Domerese, LCSW 2410 Sw State Route 150, Lees Summit, MO 64082-2903 Ph: (816) 223-8522 | Dereik Lance Domerese, LCSW 905 Ne Rice Rd Ste B, Lees Summit, MO 64086-6300 Ph: (816) 223-8522 |
Christina Shaw Hyde, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1260 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-347-8777 | |
Mr. Robert Grey Endres, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1508 Sw White Ridge Dr, Lees Summit, MO 64081 Phone: 816-836-2920 Fax: 816-836-2923 | |
Ms. Amanda Anne Cornell, MSW, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200 | |
Ms. Stacy Mays, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Se Grand Ave, Suite B, Lees Summit, MO 64063 Phone: 816-581-3737 | |
Amy Wieboldt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 | |
Mrs. Connie Mae Putthoff, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Ne Independence Ave, Lees Summit, MO 64086 Phone: 816-347-3017 Fax: 816-246-8207 | |
Camille A Davis, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Se 3rd St Ste 206, Lees Summit, MO 64063 Phone: 316-807-1365 |