Mind Shield and Sword Therapy, LLC
NPI 1467181024 · Clinical Social Worker · Lees Summit, MO
Mind Shield and Sword Therapy, LLC is a Clinical Social Worker organization in Lees Summit, MO (NPI 1467181024).
Provider details
- NPI number
- 1467181024
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dereik Domerese, Owner/Member(816) 223-8522
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-08
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Frequently asked questions
- What is Mind Shield and Sword Therapy, LLC's NPI number?
- Mind Shield and Sword Therapy, LLC's National Provider Identifier (NPI) is 1467181024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Shield and Sword Therapy, LLC?
- Mind Shield and Sword Therapy, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mind Shield and Sword Therapy, LLC located?
- Mind Shield and Sword Therapy, LLC's practice location on file with NPPES is 905 Ne Rice Rd Ste B, Lees Summit, MO 64086-6300.
- What is Mind Shield and Sword Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Shield and Sword Therapy, LLC is (816) 223-8522.
- Who is the authorized official for Mind Shield and Sword Therapy, LLC?
- The authorized official listed on Mind Shield and Sword Therapy, LLC's NPPES record is Dereik Domerese, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Shield and Sword Therapy, LLC's NPI active?
- Yes — Mind Shield and Sword Therapy, LLC's NPI (1467181024) is active in the NPPES registry as of the last update on 2022-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.