Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Shield and Sword Therapy, LLC

Organization Social Worker · NPI 1467181024

Mind Shield and Sword Therapy, LLC is a Social Worker in Lees Summit, Missouri. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

905 NE Rice Rd Ste B
Lees Summit, MO 64086-6300
Phone: (816) 223-8522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1467181024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dereik Domerese — Owner/Member · (816) 223-8522
NPI enumeratedJune 8, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address2410 Sw State Route 150, Lees Summit, MO 64082-2903

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