Dereik Lance Domerese, LCSW
- Affiliated sites
- 1
- State licenses
- 2
- Year NPI issued
- 2017
- Practice address
- 905 Ne Rice Rd Ste B Suite B, Lee'S Summit, MO 64086
- Practice phone
- Call (816) 223-8522
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mind Shield And Sword Therapy, LLC
Physician office · Lee'S Summit, Missouri
Find Dereik Domerese's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dereik Lance Domerese is a clinical social worker in Lee'S Summit, Missouri
Dereik Domerese practices at Mind Shield And Sword Therapy, LLC in Lee'S Summit, Missouri.
Dereik Domerese's NPI, 1760927586, was assigned on January 3, 2017. Dereik Domerese holds Missouri license 2016034259.
- NPI
- 1760927586NPI Registry (opens in a new tab)
- NPI enumeration date
- January 3, 2017
- NPI status
- Active
- Practice phone
- (816) 223-8522
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Dereik Lance Domerese practices at Mind Shield and Sword Therapy, LLC in Lee'S Summit, Missouri
Dereik Domerese's primary practice is Mind Shield and Sword Therapy, LLC, at 905 Ne Rice Rd Ste B Suite B, Lee'S Summit, MO 64086. The practice phone is (816) 223-8522.
- Mind Shield and Sword Therapy, LLC905 Ne Rice Rd Ste B Suite B, Lee'S Summit, MO 64086Phone(816) 223-8522
Source: Dmand AI Affiliation Data
Dereik Lance Domerese is affiliated with 1 site of care
Dereik Domerese's primary practice is Mind Shield And Sword Therapy, LLC in Lee'S Summit, Missouri.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dereik Lance Domerese's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dereik Domerese practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mind Shield And Sword Therapy, LLC | Available with a free account |
Source: Dmand AI Technology Install Data
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Dereik Lance Domerese is one of 1,638 clinical social workers in Missouri
Social worker is Dereik Domerese's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Dmand AI has Dereik Domerese's licenses on file in 2 states: Missouri and Kansas.
Specialties and state licenses
- Clinical social worker, MissouriPrimary
- Kansas license
Clinical social workers near Dereik Domerese
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Sources for Dereik Lance Domerese's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dereik Lance Domerese
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What is Dereik Lance Domerese's NPI number?
Dereik Lance Domerese's NPI number is 1760927586. It was assigned on January 3, 2017, and it is active in the NPI Registry.
What does Dereik Lance Domerese specialize in?
Dereik Lance Domerese is a clinical social worker in Lee'S Summit, Missouri. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Dereik Lance Domerese practice?
Dereik Domerese practices at 905 Ne Rice Rd Ste B Suite B, Lee'S Summit, MO 64086. Dereik Domerese's primary practice is Mind Shield And Sword Therapy, LLC in Lee'S Summit, Missouri.
What is Dereik Lance Domerese's office phone number?
The practice phone on file for Dereik Domerese is (816) 223-8522.
What is Dereik Lance Domerese's medical license number?
Dereik Domerese holds Missouri license 2016034259, one of the licenses on file in 2 states.
Which states has Dereik Lance Domerese been licensed in?
Dmand AI has state licenses on file for Dereik Domerese in Missouri and Kansas.
How long has Dereik Lance Domerese been practicing?
Dereik Domerese's NPI was assigned in 2017.
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