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NPI Code Detail

MEDICARE: SHAYNA PARKER LCSW

MEDICARE: SHAYNA PARKER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2021025415MO

General Provider Information

NPI Number : 1912426586
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA PARKER LCSW
Provider Business Mailing Address
First Line : PO BOX 844715
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-4715
Country : US
Telephone Number : 417-761-5214
Fax Number : 417-761-5065
Provider Business Practice Location Address
First Line : 1001 LYNCH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-1818
Country : US
Telephone Number : 314-535-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2017
Last Update Date : 03/12/2026

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Directions to “ SHAYNA PARKER LCSW” Practice Location

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