Active NPI
Chidinma Chiaku Ndukwu
- Social Worker
- Joplin, MO
National Provider Identifier
1649912197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2017022271
- Practice address
- 530 S Maiden LN
Joplin, MO 64801-3084 - Phone
- (417) 782-6200
- Fax
- (417) 782-6210
- NPI assigned
- Apr 13, 2022
- Last updated
- Apr 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2017022271 | MO | Primary |
Addresses
Primary practice location
530 S Maiden LN
Joplin, MO 64801-3084
Mailing address
3130 Westberry SQ
Joplin, MO 64804-1584
Phone (417) 825-1019
Other practice location 1
1504A N Business 49
Neosho, MO 64850-6883
Phone (417) 451-4447
Other practice location 2
210 W 10th St
LaMar, MO 64759-1405
Phone (417) 681-0027
Other practice location 3
1810 S Carnation Dr
Aurora, MO 65605-2162
Phone (417) 678-1260
Other practice location 4
927 N 71 Business Hwy
Anderson, MO 64831-9753
Phone (417) 845-8300
Other practice location 5
4016 Main St
Cassville, MO 65625-9753
Phone (417) 847-0057
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017022271 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1649912197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 WESTBERRY SQ",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041584",
"telephone_number": "417-825-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S MAIDEN LN",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648013084",
"telephone_number": "417-782-6200",
"fax_number": "417-782-6210"
}
],
"practiceLocations": [
{
"address_1": "1504A N Business 49",
"address_purpose": "LOCATION",
"city": "Neosho",
"state": "MO",
"postal_code": "648506883",
"country_code": "US",
"telephone_number": "417-451-4447",
"fax_number": "417-451-4448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 W 10th St",
"address_purpose": "LOCATION",
"city": "LaMar",
"state": "MO",
"postal_code": "647591405",
"country_code": "US",
"telephone_number": "417-681-0027",
"fax_number": "417-681-0028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1810 S Carnation Dr",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "MO",
"postal_code": "656052162",
"country_code": "US",
"telephone_number": "417-678-1260",
"fax_number": "417-678-1261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "927 N 71 Business Hwy",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "MO",
"postal_code": "648319753",
"country_code": "US",
"telephone_number": "417-845-8300",
"fax_number": "417-845-8314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4016 Main St",
"address_purpose": "LOCATION",
"city": "Cassville",
"state": "MO",
"postal_code": "656259753",
"country_code": "US",
"telephone_number": "417-847-0057",
"fax_number": "417-847-0079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDUKWU",
"first_name": "CHIDINMA",
"middle_name": "CHIAKU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2017022271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.