Individual
JENNIFER REBECCA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
508 NW WARD LN, LEES SUMMIT, MO 64063-1823
(913) 937-1000
Mailing address
508 NW WARD LN, LEES SUMMIT, MO 64063-1823
(913) 937-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
KS
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201360440A
—
KS
05
—
2019035302
—
MO
05
—
334900001
—
MO
Enumeration date
09/26/2019
Last updated
05/02/2025
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