Healthcare Provider Details

I. General information

NPI: 1467068270
Provider Name (Legal Business Name): JOSHUA SETH MINNIS MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 BUCHANAN ST
KANSAS CITY MO
64116-3405
US

IV. Provider business mailing address

2029 BUCHANAN ST
KANSAS CITY MO
64116-3405
US

V. Phone/Fax

Practice location:
  • Phone: 816-221-0305
  • Fax: 816-221-9121
Mailing address:
  • Phone: 816-221-0305
  • Fax: 816-221-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW06570
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: