Active NPI
Indiana Desimone, LMSW
- Social Worker
- Springfield, MO
National Provider Identifier
1740008713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2023033707
- Practice address
- 2025 E Chestnut Expy
Springfield, MO 65802-2222 - Phone
- (765) 413-9194
- NPI assigned
- Sep 30, 2024
- Last updated
- Sep 30, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2023033707 | MO | Primary |
Addresses
Primary practice location
2025 E Chestnut Expy
Springfield, MO 65802-2222
Mailing address
4404 S Hemock Ave
Springfield, MO 65810
Phone (765) 413-9194
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023033707 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1740008713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4404 S HEMOCK AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65810",
"telephone_number": "765-413-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 E CHESTNUT EXPY",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658022222",
"telephone_number": "765-413-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "INDIANA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2023033707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
- Catherine Rose Derrick
- Shannon Elizabeth Derricks, ATC
- Mayra A Derrington, MA, LPLC
- Kathryne Rachelle Derrough, M.D.
- Neal Evan Desha, MED, LPC
- William Russell Detten, D.O.
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
- Developmental Center of the Ozarks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.