Provider Demographics
NPI:1588450845
Name:SMITH, DEANNA LYNN (LCSW, LSCSW)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:
Credentials:LCSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5712 NW 96TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-7841
Mailing Address - Country:US
Mailing Address - Phone:816-591-9106
Mailing Address - Fax:
Practice Address - Street 1:400 NE 32ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-2983
Practice Address - Country:US
Practice Address - Phone:816-412-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0048551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical