Individual
MRS. DEBRA MORENO LANDIS
Active
Individual
MRS. DEBRA MORENO LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005319
MO
1041C0700X
Clinical Social Worker
3123
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28055011
BCBSKC
MO
05
—
4997664000
—
MO
Enumeration date
06/05/2006
Last updated
07/13/2026
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