Provider Demographics
NPI:1497282156
Name:LESTER, LAURA RUTH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:RUTH
Last Name:LESTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 LAWRENCE CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2217
Mailing Address - Country:US
Mailing Address - Phone:816-853-1557
Mailing Address - Fax:
Practice Address - Street 1:1913 LAWRENCE CT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2217
Practice Address - Country:US
Practice Address - Phone:816-853-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20150442661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical