Provider Demographics
NPI:1376969444
Name:DENKLER, LAURA ALISON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ALISON
Last Name:DENKLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:ALISON
Other - Last Name:GOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:10801 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6029
Mailing Address - Country:US
Mailing Address - Phone:816-385-0900
Mailing Address - Fax:
Practice Address - Street 1:10801 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-6029
Practice Address - Country:US
Practice Address - Phone:816-385-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010024143104100000X
MO2017002828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker