Individual provider Active NPI

Mary Turner, MSW LCSW CCDP-D LLC

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1326415209
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011034998 Issued in MO
Practice address
1310 E Kingsley St Ste C
Springfield, MO 65804-7238
Phone
(417) 862-3455
Fax
(417) 862-9771
NPI assigned
Aug 27, 2015
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2011034998 MO Primary

Addresses

Primary practice location

1310 E Kingsley St Ste C
Springfield, MO 65804-7238

Mailing address

1310 E Kingsley St Ste C
Springfield, MO 65804-7238
Phone (417) 882-7700

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
I20210331000368 MO Practitioner - Clinical Social Worker 1557778982

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1310 E Kingsley St
Suite C
Springfield, MO 65804-7238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011034998MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary C. Turner MSW LCSW CCDP-D, LLC Clinical CurrentSince Feb 10, 2021 Accepting new patients

Locations

1310 E Kingsley St
Ste Bc
Springfield, MO 65804
Phone (417) 882-7700

1310 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 882-7700

1310 E Kingsley St
Ste D
Springfield, MO 65804
Phone (417) 880-3473

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.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1326415209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E KINGSLEY ST STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047238",
            "telephone_number": "417-882-7700",
            "fax_number": "417-882-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E KINGSLEY ST STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047238",
            "telephone_number": "417-862-3455",
            "fax_number": "417-862-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MARY",
        "credential": "MSW LCSW CCDP-D LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011034998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.