John Robert Souza, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000117 Issued in MO

Practice address

5309 Wood Lake CT
Columbia, MO 65202-5747

Phone

(573) 499-1873

NPI assigned

Apr 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Residential Psychiatric Services, Inc.

  • Clinical Social Worker
  • Farmington, MO
  • NPI 1467453894
  NPD (past)
• Responsive Management Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1164512562
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1366685786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WOOD LAKE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652025747",
            "telephone_number": "573-499-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WOOD LAKE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652025747",
            "telephone_number": "573-499-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rami Soukieh, MD
• South Hampton Rehabilitation & Health Care Center LLC
• Shanna South
• Kirsten Rhea Southerland
• Southern Home Care Services, Inc.
• James Jay Sowash, M.D.
• Tajudeen Olarotimi Soyoye, MD
• N Diane Spalding, APRN, BC
• Rachael Deeann Sparks, PLPC
• Stacy Sparks, MSW, LCSW

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.