Individual provider Active NPI

Jodi Lynne Dancer, LCSW

  • Social Worker
  • West Plains, MO
National Provider Identifier
1194497206
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2022000964 Issued in MO
Practice address
1211 Porter Wagoner Blvd
West Plains, MO 65775-1826
Phone
(417) 257-6762
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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
Social Worker 104100000X 2022000964 MO Primary

Addresses

Primary practice location

1211 Porter Wagoner Blvd
West Plains, MO 65775-1826

Mailing address

2916 US Highway 63
Willow Springs, MO 65793-9289
Phone (417) 616-3039

Other practice location 1

2916 US Highway 63
Willow Springs, MO 65793-9289
Phone (417) 616-3039

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
I20230721002948 MO Practitioner - Clinical Social Worker 1355701327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1211 Porter Wagoner Blvd
Suite 23
West Plains, MO 65775-1826
Phone 41725767623010

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Current Accepting new patients
Ozarks Medical Center CurrentSince Jun 20, 2023 Accepting new patients
The Cottage Therapy, LLC CurrentSince Jan 25, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Jun 20, 2023 Accepting new patients

Locations

1211 Porter Wagoner Blvd
#23
West Plains, MO 65775
Phone 4172576762 ext. 4140

1211 Porter Wagoner Blvd
West Plains, MO 65775
Phone (417) 257-6762

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1211 Porter Wagoner Blvd
Bldg 23
West Plains, MO 65775

1211 Porter Wagoner Blvd
Ste 23
West Plains, MO 65775
Phone (417) 257-6762

Organizations & group practices 4

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1194497206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 US HIGHWAY 63",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657939289",
            "telephone_number": "417-616-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PORTER WAGONER BLVD",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751826",
            "telephone_number": "417-257-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 US Highway 63",
            "address_purpose": "LOCATION",
            "city": "Willow Springs",
            "state": "MO",
            "postal_code": "657939289",
            "country_code": "US",
            "telephone_number": "417-616-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANCER",
        "first_name": "JODI",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2022000964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.