Healthcare Provider Details

I. General information

NPI: 1952197675
Provider Name (Legal Business Name): SARAHPHEENA HENRY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 19TH TER
KANSAS CITY MO
64108-2026
US

IV. Provider business mailing address

300 W 19TH TER
KANSAS CITY MO
64108-2026
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-6224
  • Fax:
Mailing address:
  • Phone: 816-404-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW14511
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2025052504
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: