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

Individual provider Clinical Social Worker · NPI 1124542527

Clarissa Boberg, LCSW, LSCSW is a Clinical Social Worker in Kansas City, Missouri. Works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2401 Gillham Road Attn: Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone: (816) 701-5200
Fax: (816) 302-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4805 W 67th St, Prairie Village, KS 66208-1434 — (913) 432-5454
  • 7001 Blue Ridge Blvd, Raytown, MO 64133-5629 — (816) 966-0900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2022004932 (MO)

Record details

NPI number1124542527
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LSCSW
Sole proprietorNo
NPI enumeratedJuly 28, 2017
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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