Individual provider Active NPI

Mandy Jean Witthuhn, LCSW

  • Clinical Social Worker
  • Webb City, MO
National Provider Identifier
1699155945
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018003788 Issued in MO
Practice address
30 S Main St
Webb City, MO 64870-2379
Phone
(417) 203-0413
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2018003788 MO Primary

Addresses

Primary practice location

30 S Main St
Webb City, MO 64870-2379

Mailing address

1825 N East St
Webb City, MO 64870-1183
Phone (417) 203-0413

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
I20180412001619 MO Practitioner - Clinical Social Worker 6204199896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 S Main St
Webb City, MO 64870-2379
Phone (417) 203-0413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince Apr 21, 2018 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Live Well Psychotherapy Services of Southwest Missouri LLC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Ozark Center CurrentSince Apr 21, 2018 Accepting new patients
Compass Health, Inc CurrentSince Mar 1, 2021 Accepting new patients
Compass Health, Inc Clinical CurrentSince Mar 1, 2021 Accepting new patients
College Skyline Center LLC PastSince Feb 1, 2010 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

320 Mac Blvd
Nevada, MO 64772
Phone (417) 667-2262

1278 W US Highway 40
Odessa, MO 64076
Phone (816) 633-5921

30 S Main St
Webb City, MO 64870
Phone (417) 203-0413

Interoperability endpoints

  • Direct secure messaging: mandywitthuhn@tdh.allscriptsdirect.net

Organizations & group practices 7

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1699155945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N EAST ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701183",
            "telephone_number": "417-203-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S MAIN ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702379",
            "telephone_number": "417-203-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTHUHN",
        "first_name": "MANDY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018003788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

Verify at the official NPI Registry.