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Mind Shield and Sword Therapy, LLC

Clinical Social Worker in Lees Summit, MO · enumerated 2022 · authorized official Dereik Domerese, Owner/Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467181024

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Registry record

Entity type Organization (Type 2)
Legal business name Mind Shield and Sword Therapy, LLC
Practice address 905 Ne Rice Rd Ste B, Lees Summit, MO, 64086
Phone (816) 223-8522
Enumeration date Jun 8, 2022
Last updated in NPPES Jun 15, 2022

Taxonomy & classification

104100000X Social Worker Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Dereik Domerese
Title Owner/Member
Phone (816) 223-8522

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mind Shield and Sword Therapy, LLC?
The NPI for Mind Shield and Sword Therapy, LLC is 1467181024, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mind Shield and Sword Therapy, LLC?
NPPES lists Dereik Domerese (Owner/Member) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-15.