Active NPI
Ronica Jean Duncan, MSW, LCSW
- Clinical Social Worker
- Fordland, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2004021692
- Practice address
- 1059 Barton Dr
Fordland, MO 65652-7350 - Phone
- (417) 767-2273
- Fax
- (417) 767-4054
- NPI assigned
- Feb 13, 2006
- Last updated
- Oct 3, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2004021692 | MO | Primary |
Addresses
Primary practice location
1059 Barton Dr
Fordland, MO 65652-7350
Mailing address
520 E Bennett St
Springfield, MO 65807-1610
Phone (417) 831-4490
Other practice location 1
604 S Pickwick Ave
Springfield, MO 65802-3339
Phone (417) 831-7999
Other practice location 2
11863 State Highway 13
Kimberling City, MO 65686-8362
Phone (417) 739-1995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498733500 | Medicaid | MO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fordland Clinic, Inc. | Current | Accepting new patients | |
| Fordland Clinic, Inc. | Current | Accepting new patients | |
| Duncan, Brown, & Associates | Clinical | Past | Accepting new patients |
Locations
1059 Barton Dr
Fordland, MO 65652
Phone (417) 767-2100
11863 State Highway 13
Ste 1
Kimberling City, MO 65686
Phone (417) 739-2520
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Fordland, MO
- NPI 1881607612
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1386299501
-
- Clinical Psychologist
- Springfield, MO
- NPI 1275503302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1700859329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E BENNETT ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658071610",
"telephone_number": "417-831-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1059 BARTON DR",
"city": "FORDLAND",
"state": "MO",
"postal_code": "656527350",
"telephone_number": "417-767-2273",
"fax_number": "417-767-4054"
}
],
"practiceLocations": [
{
"address_1": "604 S Pickwick Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658023339",
"country_code": "US",
"telephone_number": "417-831-7999",
"fax_number": "417-831-7989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11863 State Highway 13",
"address_purpose": "LOCATION",
"city": "Kimberling City",
"state": "MO",
"postal_code": "656868362",
"country_code": "US",
"telephone_number": "417-739-1995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "RONICA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2004021692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498733500",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fordland, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.