Healthcare Provider Details

I. General information

NPI: 1699642827
Provider Name (Legal Business Name): BRENNA M MANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRENNA M SWINDELL

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 417-761-5214
  • Fax: 417-761-5065
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 Number2007004163
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: