Provider Demographics
NPI:1447049747
Name:PHELPS, RACHEL (DSW, LMSW)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:PHELPS
Suffix:
Gender:
Credentials:DSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13108 NW PORTER RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64152-1336
Mailing Address - Country:US
Mailing Address - Phone:913-240-2449
Mailing Address - Fax:
Practice Address - Street 1:13108 NW PORTER RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64152-1336
Practice Address - Country:US
Practice Address - Phone:913-240-2449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10498104100000X
MO2019046411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker