Individual
MARY NEVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 554-4261
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 554-4261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023034530
MO
1041C0700X
Clinical Social Worker
Primary
2026003438
MO
Other
Enumeration date
12/16/2025
Last updated
01/26/2026
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