Healthcare Provider Details

I. General information

NPI: 1366971897
Provider Name (Legal Business Name): CHRISTINE NOELLE BARR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE TAYLOR

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 E BLUE PKWY
KANSAS CITY MO
64133-4750
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 816-474-7677
  • Fax: 816-767-7671
Mailing address:
  • Phone: 417-761-5214
  • Fax: 417-761-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2015030814
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10068
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: