Individual provider Active NPI

Kathryn Loethen

  • Social Worker
  • Springfield, MO
National Provider Identifier
1073433231
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2026034023 Issued in MO
Practice address
1717 E Republic Rd Ste D
Springfield, MO 65804-6588
Phone
(417) 351-4282
NPI assigned
Jul 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2026034023 MO Primary

Addresses

Primary practice location

1717 E Republic Rd Ste D
Springfield, MO 65804-6588

Mailing address

1717 E Republic Rd Ste D
Springfield, MO 65804-6588
Phone (417) 351-4282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1073433231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E REPUBLIC RD STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046588",
            "telephone_number": "417-351-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E REPUBLIC RD STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046588",
            "telephone_number": "417-351-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOETHEN",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2026034023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.