Individual provider Active NPI

Ronica Jean Duncan, MSW, LCSW

  • Clinical Social Worker
  • Fordland, MO
National Provider Identifier
1700859329
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004021692 Issued in MO
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 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

IdentifierTypeStateIssuer
498733500MedicaidMO

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
I20231005002887 MO Practitioner - Clinical Social Worker 6103271499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fordland Clinic, Inc. CurrentSince Sep 2, 2023 Accepting new patients
Fordland Clinic, Inc. CurrentSince Sep 2, 2023 Accepting new patients
Duncan, Brown, & Associates Clinical PastSince Jun 1, 2016 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.

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

Verify at the official NPI Registry.