Jerry Dale Wilmath, LCSW LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003564 Issued in MO

Practice address

2024 N 14
Poplar Bluff, MO 63901

Phone

(573) 718-9315

Fax

(573) 686-2647

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447267299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N 14",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-718-9315",
            "fax_number": "573-686-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N 14",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-718-9315",
            "fax_number": "573-686-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMATH",
        "first_name": "JERRY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "LCSW LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "LPC000167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya D Williams, LBA, BCBA
• Lyntoria Rochelle Williams, LCSW
• Regina Elizabeth Williams, PLPC
• Heath David Willis, A.T.C.
• Heather Wills, MSW, LCSW
• Gene Ray Wilson, DDS
• Isaac Wilson
• Lindsy Wilson
• Karen Winberry
• Carl Kevin Winkle, D.C.

• Clinical Social Worker in Poplar Bluff, MO
• Providers in Poplar Bluff, 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 Sep 11, 2025; 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.