Provider Demographics
NPI:1285693200
Name:MCANULTY, BARRY L (MSW, LCSW, LSCSW)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:L
Last Name:MCANULTY
Suffix:
Gender:M
Credentials:MSW, LCSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 NW THOREAU DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2264
Mailing Address - Country:US
Mailing Address - Phone:816-554-0912
Mailing Address - Fax:816-554-0916
Practice Address - Street 1:521 SE 2ND ST
Practice Address - Street 2:SUITE, C
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2646
Practice Address - Country:US
Practice Address - Phone:816-554-0912
Practice Address - Fax:816-554-0916
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15911041C0700X
MO0022031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical