Healthcare Provider Details

I. General information

NPI: 1306768049
Provider Name (Legal Business Name): VERA E VAINIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH E VAINIO

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 WISCONSIN AVE STE C
JOPLIN MO
64804-4074
US

IV. Provider business mailing address

PO BOX 2526
JOPLIN MO
64803-2526
US

V. Phone/Fax

Practice location:
  • Phone: 417-347-7730
  • Fax:
Mailing address:
  • Phone: 417-347-7730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026025211
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: