Individual provider Active NPI

Caroline R Charlton

  • Clinical Social Worker
  • Carthage, MO
National Provider Identifier
1346958576
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024046443 Issued in MO
Practice address
1632 Missouri Ave
Carthage, MO 64836-3059
Phone
(417) 358-7728
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Center 38 clinicians

Practice addresses (Care Compare)

1632 Missouri Ave
Carthage, MO 64836-3059
Phone (417) 347-7600

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241227002851 MO Practitioner - Clinical Social Worker 1355878679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012033590MOMDClinical Social Worker
2024046443MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince Dec 2, 2024 Accepting new patients
Ozark Center CurrentSince Dec 2, 2024 Accepting new patients

Locations

1632 Missouri Ave
Carthage, MO 64836
Phone (417) 358-1500

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2012033590 MO
Clinical Social Worker 1041C0700X 2024046443 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1632 Missouri Ave
Carthage, MO 64836-3059

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone (417) 358-7728

Other practice location 1

3901 E 32nd St
Joplin, MO 64804-3312
Phone (417) 347-7567

Other names 1

NPPES NPI Registry
  • Caroline Blanchard Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2024.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1346958576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-358-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 MISSOURI AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363059",
            "telephone_number": "417-358-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043312",
            "country_code": "US",
            "telephone_number": "417-347-7567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "CAROLINE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012033590",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024046443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "BLANCHARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.