# BRENNA MAE SHEPARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962014340
- **Gender:** F
- **Credential:** LSCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 12143 | KS | Yes |
| 1041C0700X | Clinical Social Worker | 07315 | KS | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 07/31/2026