Active NPI
Kareesha J Boyington, LMSW
- Social Worker
- Joplin, MO
National Provider Identifier
1194568253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2024020670
- Practice address
- 530 S Maiden LN
Joplin, MO 64801-3084 - Phone
- (417) 782-6200
- Fax
- (417) 782-6210
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2024020670 | MO | Primary |
Addresses
Primary practice location
530 S Maiden LN
Joplin, MO 64801-3084
Mailing address
2506 Lyndell PL
Joplin, MO 64804-2448
Phone (417) 593-2443
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024020670 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1194568253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 LYNDELL PL",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042448",
"telephone_number": "417-593-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S MAIDEN LN",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648013084",
"telephone_number": "417-782-6200",
"fax_number": "417-782-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYINGTON",
"first_name": "KAREESHA",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2024020670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.