Active NPI
John Robert Pruett, LCSW
- Clinical Social Worker
- Hannibal, MO
National Provider Identifier
1225661945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2009003215
- Practice address
- 146 Communication Dr
Hannibal, MO 63401-3672 - Phone
- (573) 248-1196
- NPI assigned
- Feb 20, 2020
- Last updated
- Feb 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2009003215 | MO | Primary |
Addresses
Primary practice location
146 Communication Dr
Hannibal, MO 63401-3672
Mailing address
146 Communication Dr
Hannibal, MO 63401-3672
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.turningpointrc.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009003215 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1225661945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 COMMUNICATION DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634013672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 COMMUNICATION DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634013672",
"telephone_number": "573-248-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2009003215",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.turningpointrc.org",
"affiliation": "N",
"endpointDescription": "agency web site",
"address_1": "146 Communication Dr",
"city": "Hannibal",
"state": "MO",
"country_code": "US",
"postal_code": "634013672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hannibal, MO
- Preferred Family Healthcare, Inc. (Clarity Healthcare)
- Preferred Family Healthcare, Inc. (Clarity Healthcare Pharmacy)
- Preferred Family Healthcare, Inc. (Clarity Healthcare)
- Preferred Family Healthcare, Inc. (Clarity Healthcare)
- Preferred Family Healthcare, Inc.
- Lindsey Marie Pyse, RDH
- Quincy Physicians & Surgeons Clinic, PLLC (Quincy Medical Group)
- Ihtesham Aatif Qureshi
- Tatyana L Rains, FNP
- Ralls County Ambulance District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.