Healthcare Provider Details

I. General information

NPI: 1669994356
Provider Name (Legal Business Name): LAURIE DUNN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4782 SIENNA DR
SAINT JOSEPH MO
64506-4862
US

IV. Provider business mailing address

4782 SIENNA DR
SAINT JOSEPH MO
64506-4862
US

V. Phone/Fax

Practice location:
  • Phone: 913-828-1271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026037392
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: