Individual
DERICK NELSON FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
Mailing address
10228 KESSLER ST APT A, OVERLAND PARK, KS 66212-5357
(620) 288-0768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018001714
MO
1041C0700X
Clinical Social Worker
4726
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490074453
—
MO
Enumeration date
09/09/2018
Last updated
07/20/2025
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