Ambria Michelle Wimsatt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021005784 Issued in MO

Practice address

608 Missouri St
Waverly, MO 64096-8241

Phone

(877) 344-3572

Fax

(866) 288-4492

NPI assigned

Jan 3, 2019

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ambria.wimsatt@hccnet.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HCC Network

  dba Live Well Community Health Center-Waverly

  • Federally Qualified Health Center (FQHC)
  • Waverly, MO
  • NPI 1174960769
  Medicare reassignment NPD
• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374
  NPD
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817
  NPD
• HCC Network

  • Federally Qualified Health Center (FQHC)
  • Carrollton, MO
  • NPI 1255114559
  NPD (past)
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582
  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1073086955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S BUSINESS HIGHWAY 13",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671515",
            "telephone_number": "660-259-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MISSOURI ST",
            "city": "WAVERLY",
            "state": "MO",
            "postal_code": "640968241",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 N Bismark St",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "MO",
            "postal_code": "640208180",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 Harvest Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646332412",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 S Business Highway 13 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MO",
            "postal_code": "640671572",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "MO",
            "postal_code": "640168142",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-288-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMSATT",
        "first_name": "AMBRIA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018025722",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05541",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021005784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy L Dighton, FNP
• HCC Network (Live Well Community Health Center-Waverly)
• Cynthia Diane Stock, FNP-C
• Kyra J Tracy, RDH
• Waverly 1 Inc (Apple Ridge Care Center)

• Clinical Social Worker in Waverly, MO
• Providers in Waverly, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.