Provider Demographics
NPI:1275623548
Name:KLEVER, PHILLIP (MSW)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:
Last Name:KLEVER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W 47TH ST STE 215
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1635
Mailing Address - Country:US
Mailing Address - Phone:816-753-7330
Mailing Address - Fax:
Practice Address - Street 1:310 W 47TH ST STE 215
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1635
Practice Address - Country:US
Practice Address - Phone:816-753-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0000481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical