Tonya Wibbenmeyer, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024016034 Issued in MO

Practice address

5011 Scenic View Acres Dr
Imperial, MO 63052-1554

Phone

(224) 818-4257

NPI assigned

Sep 23, 2019

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MO

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1740831619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 SCENIC VIEW ACRES DR",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630521554",
            "telephone_number": "224-818-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 SCENIC VIEW ACRES DR",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630521554",
            "telephone_number": "224-818-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIBBENMEYER",
        "first_name": "TONYA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024016034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Vaughn, RN, CRNA
• Pamela Weiter
• Anissa Wheeler, MSN, APRN, FNP-BC
• Carol Marie Wheeler, MA, MS, PLPC
• Shelley Whitehead, COTA/L
• Angela M Williams, MSW, LMSW
• Jennifer Williams
• Heather Renee Willis
• Windsor C-1 School District
• Windsor C-1 School District

• Clinical Social Worker in Imperial, MO
• Providers in Imperial, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.

Verify at the official NPI Registry.