Individual provider Active NPI

Chidinma Chiaku Ndukwu

  • Social Worker
  • Joplin, MO
National Provider Identifier
1649912197
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2017022271 Issued in MO
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 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

LicenseStateTypeSpecialty
2017022271MOMDSocial 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.

Verify at the official NPI Registry.