Individual provider Active NPI

Novella Lynn Keyler, MS, LCSW

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1750444063
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001315 Issued in MO
Practice address
5615 W 32ND St
Joplin, MO 64804
Phone
(417) 781-7337
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 001315 MO Primary

Addresses

Primary practice location

5615 W 32ND St
Joplin, MO 64804

Mailing address

5615 W 32ND St
Joplin, MO 64804-8161
Phone (417) 781-7337

Other names 1

  • Ms. Novella Lynn Webster Former name

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
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
001315MOMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: nwebster193355@directb.mercy.net

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1750444063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648048161",
            "telephone_number": "417-781-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-781-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYLER",
        "first_name": "NOVELLA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOVELLA",
            "last_name": "WEBSTER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MS, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.