William Everett Hafer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2016041691 Issued in MO

Practice address

1100 South Springfield Ave
Suite B
Bolivar, MO 65613

Phone

(417) 326-7272

Fax

(714) 326-2193

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131
  Medicare reassignment NPD
• Ozarks Resource Group

  • Federally Qualified Health Center (FQHC)
  • Hermitage, MO
  • NPI 1639421050
  Medicare reassignment NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  NPD
• Northwoods Psychiatric Services Inc

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1417902305

  Clinical

  NPD
• Ozarks Resource Group

  • Federally Qualified Health Center (FQHC)
  • Urbana, MO
  • NPI 1659942027
  NPD

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1194340547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18614 JACKSON STREET",
            "address_2": "PO BOX 125",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "65668",
            "telephone_number": "417-745-2121",
            "fax_number": "417-745-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTH SPRINGFIELD AVE",
            "address_2": "SUITE B",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-326-7272",
            "fax_number": "714-326-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER",
        "first_name": "WILLIAM",
        "middle_name": "EVERETT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016041691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Terese Grbac-Schomaker, M.A. CCC-A
• Donna M Griffin, LCSW
• Chad Louis Guerra, D.M.D.
• Brian G Hackleman, DC
• Cynthia Lee Hadfield, PHARMD
• Teresa Gayle Hagedorn, APRN
• Alan R Hale, PT
• Jason Clifford Halverson, MA, ATC, CSCS
• Herbert Jones Haman, DPT
• Mackenzie Hankins, M.S. CCC-SLP

• Clinical Social Worker in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.