Active NPI
Andrena Allison Wiggins, LCSW
- Clinical Social Worker
- West Plains, MO
National Provider Identifier
1508665571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65836
- Practice address
- 1801 E State Route K
West Plains, MO 65775-6616 - Phone
- (888) 557-8262
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 65836 | CA | |
| Clinical Social Worker | 1041C0700X | 65836 | CA | Primary |
Addresses
Primary practice location
1801 E State Route K
West Plains, MO 65775-6616
Mailing address
500 Spring Creek Rd
Clever, MO 65631-6472
Phone (559) 719-9003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65836 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1508665571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SPRING CREEK RD",
"city": "CLEVER",
"state": "MO",
"postal_code": "656316472",
"telephone_number": "559-719-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E STATE ROUTE K",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657756616",
"telephone_number": "888-557-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "ANDRENA",
"middle_name": "ALLISON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "65836",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "65836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.