Individual provider Active NPI

Ya'Lita Williams Thompson, LCSW

  • Clinical Social Worker
  • Cape Girardeau, MO
National Provider Identifier
1073270351
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024016862 Issued in MO
Practice address
24 Camellia Dr
Cape Girardeau, MO 63703-5720
Phone
(573) 591-2873
Fax
(573) 570-4819
NPI assigned
Nov 22, 2021
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024016862 MO Primary

Addresses

Primary practice location

24 Camellia Dr
Cape Girardeau, MO 63703-5720

Mailing address

24 Camellia Dr
Cape Girardeau, MO 63703-5720
Phone (573) 591-2873

Other identifiers 1

IdentifierTypeStateIssuer
490107674MedicaidMO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240712003751 MO Practitioner - Clinical Social Worker 6608311717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Jun 1, 2024 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

340 Kelley Pkwy
Mexico, MO 65265
Phone 5735821234 ext. 3017

Interoperability endpoints

  • Direct secure messaging: yalita.thompson.p1@direct.arthurcenter.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1073270351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CAMELLIA DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035720",
            "telephone_number": "573-591-2873",
            "fax_number": "573-570-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CAMELLIA DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035720",
            "telephone_number": "573-591-2873",
            "fax_number": "573-570-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "YA'LITA",
        "middle_name": "WILLIAMS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024016862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490107674",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.