Individual provider Active NPI

Toni Raee Autrey, LCSW

  • Clinical Social Worker
  • West Plains, MO
National Provider Identifier
1578087359
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
504 W Main St
West Plains, MO 65775-2732
Phone
(417) 252-1066
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

504 W Main St
West Plains, MO 65775-2732

Mailing address

642 County Road 1050
Willow Springs, MO 65793-3380
Phone (417) 252-1066

Other practice location 1

1211 Porter Wagoner Blvd
West Plains, MO 65775-1826
Phone (417) 257-6762 ext. 4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608000847 MO Practitioner - Clinical Social Worker 4183954407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

504 W Main St
The Porch
West Plains, MO 65775-2732
Phone (417) 815-6313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Best Self LLC Clinical CurrentSince May 31, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 14, 2023 Accepting new patients

Locations

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

504 W Main St
West Plains, MO 65775
Phone (417) 815-4253

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1578087359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 COUNTY ROAD 1050",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657933380",
            "telephone_number": "417-252-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W MAIN ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752732",
            "telephone_number": "417-252-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Porter Wagoner Blvd",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657751826",
            "country_code": "US",
            "telephone_number": "417-257-6762 x4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUTREY",
        "first_name": "TONI",
        "middle_name": "RAEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.