Individual provider Active NPI

Maria Wylde-Veit, LMSW

  • Social Worker
  • Nevada, MO
National Provider Identifier
1073904660
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2015001464 Issued in MO
Practice address
815 S Ash St
Nevada, MO 64772-3222
Phone
(417) 667-8352
Fax
(417) 667-9216
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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 2015001464 MO Primary

Addresses

Primary practice location

815 S Ash St
Nevada, MO 64772-3222

Mailing address

815 S Ash St
Nevada, MO 64772-3222
Phone (417) 667-8352

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

State licenses

LicenseStateTypeSpecialty
2015001464MOMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1073904660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723222",
            "telephone_number": "417-667-8352",
            "fax_number": "417-667-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723222",
            "telephone_number": "417-667-8352",
            "fax_number": "417-667-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLDE-VEIT",
        "first_name": "MARIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2015001464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.