Benton Drew Tolleson, LMSW
Individual provider Active NPI Clinical Social Worker · Kimberling City, MO
NPI 1477199503 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1477199503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2022019269 (MO)
- Practice address
- 11863 State Highway 13
Kimberling City, MO 65686-8362 - Phone
- (417) 739-1995
- Fax
- (417) 739-1983
- NPI assigned
- Nov 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20230923000519 | MO | Practitioner - Clinical Social Worker | 1052765195 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fordland Clinic, Inc. | Current |
Accepting new patients | |
| Fordland Clinic, Inc. | Current | Accepting new patients | |
| Fordland Clinic, Inc. | Current |
Accepting new patients |
Locations
1059 Barton Dr
Fordland, MO 65652
Phone (417) 767-2100
11863 State Highway 13
Ste 1
Kimberling City, MO 65686
Phone (417) 739-2520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2022019269 | MO | Yes |
Addresses
Primary practice location
11863 State Highway 13
Kimberling City, MO 65686-8362
Mailing address
1059 Barton Dr
Fordland, MO 65652-7350
Phone (417) 767-2273
Other practice location 1
1059 Barton Dr
Fordland, MO 65652-7350
Phone (417) 767-2273 ext. 2012
Other providers in Kimberling City, MO
- Lydia Ann Snavely
- Andrea Sosa
- Table Rock Chiropractic P.C.
- Table Rock Counseling, LLC
- Stephanie Ann Thierbach
- Mellisa J Tucker
- Anne Elizabeth Wilson Coleman
All providers in Kimberling City, MO · Clinical 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 Jun 2, 2026. 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.