Organization Active NPI

Womack Counseling Services LLC

  • Clinical Social Worker
  • Farmington, MO
National Provider Identifier
1023432788
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002712 Issued in MO
Legal business name
WOMACK COUNSELING SERVICES LLC
Practice address
503 Potosi St
Farmington, MO 63640-3218
Phone
(573) 756-1602
Fax
(573) 756-1603
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James P Womack, LCSW
Title
Administrator
Phone
(573) 915-7986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 002712 MO Primary

Addresses

Primary practice location

503 Potosi St
Farmington, MO 63640-3218

Mailing address

503 Potosi St
Farmington, MO 63640-3218
Phone (573) 756-1602

National Provider Directory

National Provider Directory

Locations

1105 W Liberty St
Ste 4050
Farmington, MO 63640
Phone (573) 756-7844

503 Potosi St
Farmington, MO 63640
Phone (573) 756-1602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1023432788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 POTOSI ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403218",
            "telephone_number": "573-756-1602",
            "fax_number": "573-756-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 POTOSI ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403218",
            "telephone_number": "573-756-1602",
            "fax_number": "573-756-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-915-7986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.