Active NPI
Jean Carolyn Tobben, MSW,LCSW
- Clinical Social Worker
- Washington, MO
National Provider Identifier
1700019734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2003022619
- Practice address
- 513 E 8TH St
Washington, MO 63090-2936 - Phone
- (636) 432-3039
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2003022619 | MO | Primary |
Addresses
Primary practice location
513 E 8TH St
Washington, MO 63090-2936
Mailing address
513 E 8TH St
Washington, MO 63090-2936
Phone (636) 432-3039
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 |
|---|---|---|---|
| 2003022619 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients | |
| Compass Health, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
dba Pathways Community Behavioral Healthcare
- Federally Qualified Health Center (FQHC)
- Saint Charles, MO
- NPI 1083033591
-
dba Sullivan Medical Office
- Rural Health Clinic/Center
- Sullivan, MO
- NPI 1235228222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1700019734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 E 8TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902936",
"telephone_number": "636-432-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 E 8TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902936",
"telephone_number": "636-432-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBBEN",
"first_name": "JEAN",
"middle_name": "CAROLYN",
"name_prefix": "Ms.",
"credential": "MSW,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2003022619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
- Thrive Therapy Services
- Christine M Thwing, RPH
- Qi Tian, M.D.
- Adam Tiefenbrunn, DDS
- Timothy Jones, Ma, Inc
- Mark Tobben, D.D.S.
- Total Access Urgent Care, PC (Total Access Urgent Care)
- Total Renal Care Inc (Washington Home Training)
- Transitions Counseling Services LLC
- Tri-County Orthodontics, Associates, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.