Individual provider Active NPI

Jamie Nicole Hubble, LMSW

  • Social Worker
  • Nevada, MO
National Provider Identifier
1609737030
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2025029996 Issued in MO
Practice address
627 S Ash St
Nevada, MO 64772-3218
Phone
(417) 448-3600
Fax
(417) 448-2492
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2025029996 MO Primary

Addresses

Primary practice location

627 S Ash St
Nevada, MO 64772-3218

Mailing address

721 N West St
Nevada, MO 64772-1353
Phone (417) 667-3355

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
I20251222000413 MO Practitioner - Clinical Social Worker 8628563236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 S Ash St
Nevada, MO 64772-3224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025029996MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada City Hospital CurrentSince Dec 11, 2025 Accepting new patients
Nevada City Hospital CurrentSince Dec 11, 2025 Accepting new patients
Randall Kunze DPM LLC PastSince Nov 30, 2025 Accepting new patients
Nevada City Hospital PastSince Nov 30, 2025 Accepting new patients

Locations

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 4

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1609737030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N WEST ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721353",
            "telephone_number": "417-667-3355",
            "fax_number": "417-448-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723218",
            "telephone_number": "417-448-3600",
            "fax_number": "417-448-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBLE",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2025029996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.