Healthcare Provider Details

I. General information

NPI: 1083509897
Provider Name (Legal Business Name): ALEX VUE LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 NW VIVION RD
KANSAS CITY MO
64118-4555
US

IV. Provider business mailing address

603 RIPLEY CT
RAYMORE MO
64083-8283
US

V. Phone/Fax

Practice location:
  • Phone: 816-366-5515
  • Fax:
Mailing address:
  • Phone: 402-682-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2025020804
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: