Keturah Jolene Farmer, LCSW
Individual provider Active NPI Social Worker · West Plains, MO
NPI 1376197822 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1376197822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2019029468 (MO)
- Practice address
- 504 W Main St
West Plains, MO 65775-2732 - Phone
- (417) 252-0846
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220422001759 | MO | Practitioner - Clinical Social Worker | 4688061567 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019029468 | MO | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2019029468 | MO | Yes |
Addresses
Primary practice location
504 W Main St
West Plains, MO 65775-2732
Mailing address
PO Box 1475
West Plains, MO 65775-1475
Phone (417) 815-4769
Other practice location 1
1211 Porter Wagoner Blvd, Ste. 23
West Plains, MO 65775
Phone (417) 257-6762
Other providers in West Plains, MO
- Samuel Charles Evans
- Kimberley Faber
- Fairview R-XI School
- Family Counseling Center, Inc.
- Falyn Farmer
- Velinda Farris
- Joeseph Fatula
- Jason Ferrebee
- Scott Fineout
- Carrie Leann Finke
All providers in West Plains, MO · Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.