Individual provider Active NPI

Karla Smith, LCSW

  • Clinical Social Worker
  • Monett, MO
National Provider Identifier
1104281922
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2016033333 Issued in MO
Practice address
1701 Central Ave.
Monett, MO 65708
Phone
(417) 476-1000
Fax
(417) 476-1082
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2014029522 MO
Clinical Social Worker 1041C0700X 2016033333 MO Primary

Addresses

Primary practice location

1701 Central Ave.
Monett, MO 65708

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1000

Other names 1

  • Karla Fisher Former name

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
I20161230000082 MO Practitioner - Clinical Social Worker 6800177080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014029522MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Apr 1, 2022 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Apr 1, 2022 Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1104281922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657232100",
            "telephone_number": "417-476-1000",
            "fax_number": "417-476-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CENTRAL AVE.",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "65708",
            "telephone_number": "417-476-1000",
            "fax_number": "417-476-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KARLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-07-26",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2014029522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016033333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "FISHER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monett, MO

Sources for this page

Verify at the official NPI Registry.