Organization Active NPI

Emberstone Therapy Services, LLC

  • Clinical Social Worker
  • Poplar Bluff, MO
National Provider Identifier
1114872181
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMBERSTONE THERAPY SERVICES, LLC
Practice address
936 Ida St
Poplar Bluff, MO 63901-4210
Phone
(573) 429-4846
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Authorized official

Name
Lori Lady, LCSWNPI 1518724566
Title
Owner
Phone
(573) 429-4846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

936 Ida St
Poplar Bluff, MO 63901-4210

Mailing address

936 Ida St
Poplar Bluff, MO 63901-4210
Phone (573) 429-4846

National Provider Directory

National Provider Directory

Locations

936 Ida St
Poplar Bluff, MO 63901
Phone (573) 429-4846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772928000000",
    "number": "1114872181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 IDA ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014210",
            "telephone_number": "573-429-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 IDA ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014210",
            "telephone_number": "573-429-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBERSTONE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A",
        "authorized_official_last_name": "LADY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-429-4846",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.