Healthcare Provider Details

I. General information

NPI: 1932076965
Provider Name (Legal Business Name): NOELLE PILLA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W MAPLE AVE
INDEPENDENCE MO
64050-2816
US

IV. Provider business mailing address

224 W MAPLE AVE
INDEPENDENCE MO
64050-2816
US

V. Phone/Fax

Practice location:
  • Phone: 816-381-7690
  • Fax: 816-381-7652
Mailing address:
  • Phone: 816-381-7690
  • Fax: 816-381-7652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2025036975
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: