Healthcare Provider Details

I. General information

NPI: 1750228094
Provider Name (Legal Business Name): MAGEN RACHELLE BROWN LMSW, MAADC II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAGEN RACHELLE MANN, SELLARS

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 N 22ND ST
SAINT JOSEPH MO
64506-2604
US

IV. Provider business mailing address

724 N 22ND ST
SAINT JOSEPH MO
64506-2604
US

V. Phone/Fax

Practice location:
  • Phone: 816-364-1501
  • Fax:
Mailing address:
  • Phone: 816-364-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026007952
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: