SearchMissouriClinical Social Worker

Dereik Domerese, LCSW

NPI 1760927586 · on the registry since 2017

Practice

Address
905 Ne Rice Rd Ste B
Lees Summit, MO 64086
Phone
(816) 223-8522
Organisation at this address
Kc Counseling Group Llc
Mind Shield And Sword Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Clinical Social Worker
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri