Healthcare Provider Details

I. General information

NPI: 1740890565
Provider Name (Legal Business Name): SYLVIA OFORI-YEBOAH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYLVIA BENA

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 S ROGERS AVE
SPRINGFIELD MO
65804-3152
US

IV. Provider business mailing address

2885 W BATTLEFIELD ST
SPRINGFIELD MO
65807-3952
US

V. Phone/Fax

Practice location:
  • Phone: 417-298-8181
  • Fax:
Mailing address:
  • Phone: 417-761-5214
  • Fax: 417-761-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2023001681
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: