Carolyn B Yocum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2002007548 Issued in MO

Practice address

622 W Broadway Blvd
Sedalia, MO 65301-5501

Phone

(417) 880-6653

Fax

(417) 282-1249

NPI assigned

Sep 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Ozarks Resource Group

  • Federally Qualified Health Center (FQHC)
  • Hermitage, MO
  • NPI 1639421050
  NPD
• Ozarks Resource Group

  • Federally Qualified Health Center (FQHC)
  • Urbana, MO
  • NPI 1659942027
  NPD
• Fuelling & Associates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warrensburg, MO
  • NPI 1588735930
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1659366706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 72 BOX 1516",
            "city": "WHEATLAND",
            "state": "MO",
            "postal_code": "657799705",
            "telephone_number": "417-880-6653",
            "fax_number": "417-282-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015501",
            "telephone_number": "417-880-6653",
            "fax_number": "417-282-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002007548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494801046",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William G Woolery, MD
• David H Wuellner, MD
• Ryan P Wymore, D.D.S.
• Qian Yang
• Andrew R Yeager
• Gerald Allen Young, BC-HIS
• Kristine Young
• Margaret Elizabeth Young, NP-C
• Richard McKell Young, D.M.D
• Hannah R Zaragoza, MS, LPC

• Clinical Social Worker in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.