Nichole Sprowso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024029659 Issued in MO

Practice address

334 E Commercial St Ste 208
Springfield, MO 65803-2961

Phone

(970) 208-7791

NPI assigned

Jul 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Revival Therapy LLC

  • Clinical Social Worker
  • Springfield, MO
  • NPI 1184447955

  Clinical, MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1609604347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 S ROCHELLE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043953",
            "telephone_number": "980-208-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E COMMERCIAL ST STE 208",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032961",
            "telephone_number": "970-208-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROWSO",
        "first_name": "NICHOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024029659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Psychological Services
• Springfield Public Schools R-12
• Springfield Residential Center , Inc.
• Springfield Smiles LLC
• Springfield Sport & Spine, LLC
• Cassandra E Spruill, ARNP
• Angela Nicole Spurgeon, D.O.
• Tory Spurgin, MSW, LCSW
• Lisa Squires, RPH
• Papaiah Sreepada, MD

• All providers in Springfield, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.