Provider Demographics
NPI:1598566580
Name:KLEOPPEL, SHELBY (LMSW)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:KLEOPPEL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 NE FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5404
Mailing Address - Country:US
Mailing Address - Phone:913-439-0586
Mailing Address - Fax:
Practice Address - Street 1:400 SW LONGVIEW BLVD STE 160
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-2112
Practice Address - Country:US
Practice Address - Phone:816-761-3944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024047596104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker