Active NPI
Jennifer Elizabeth Corbin-Daulton, LMSW
- Clinical Social Worker
- Nevada, MO
National Provider Identifier
1205119013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2011022369
- Practice address
- 300 W Cherry St
Nevada, MO 64772-2202 - Phone
- (417) 667-4230
- Fax
- (417) 667-7607
- NPI assigned
- Sep 28, 2011
- Last updated
- Nov 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2011022369 | MO | Primary |
Addresses
Primary practice location
300 W Cherry St
Nevada, MO 64772-2202
Mailing address
1500 W. Ashland
Nevada, MO 64772
Phone (417) 667-2666
Other practice location 1
1900 SW Merryman Dr
Lees Summit, MO 64082-3913
Phone (417) 321-5312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011022369 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Mental Health Associates, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allied Mental Health
- Professional Counselor
- Nevada, MO
- NPI 1144205527
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1205119013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W. ASHLAND",
"city": "NEVADA",
"state": "MO",
"postal_code": "64772",
"telephone_number": "417-667-2666",
"fax_number": "417-448-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CHERRY ST",
"city": "NEVADA",
"state": "MO",
"postal_code": "647722202",
"telephone_number": "417-667-4230",
"fax_number": "417-667-7607"
}
],
"practiceLocations": [
{
"address_1": "1900 SW Merryman Dr",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640823913",
"country_code": "US",
"telephone_number": "417-321-5312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBIN-DAULTON",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2011022369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.