Provider Demographics
NPI:1881107852
Name:MCGEE, SHONTEL LEE (LMSW)
Entity type:Individual
Prefix:
First Name:SHONTEL
Middle Name:LEE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHONTEL
Other - Middle Name:LEE
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:300 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1410
Mailing Address - Country:US
Mailing Address - Phone:816-508-6226
Mailing Address - Fax:
Practice Address - Street 1:300 E 36TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1410
Practice Address - Country:US
Practice Address - Phone:816-508-6226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017004724104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker