Individual provider Active NPI

Margaret Jane Duckworth, LCSW

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1780967208
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011029369 Issued in MO
Practice address
440 E Tampa St
Springfield, MO 65806
Phone
(417) 831-0150
Fax
(417) 865-3479
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2011029369 MO Primary
Mental Health Counselor 101YM0800X 2011029369 MO

Addresses

Primary practice location

440 E Tampa St
Springfield, MO 65806

Mailing address

2465 E Meadow Dr
Springfield, MO 65804-4506
Phone (417) 689-3974

Other practice location 1

2465 E Meadow Dr
Springfield, MO 65804-4506
Phone (417) 689-3974

Other identifiers 1

IdentifierTypeStateIssuer
2011029369OtherMOMISSOURI STATE LICENSE

Other names 1

  • Margaret Jane Choate 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

State licenses

LicenseStateTypeSpecialty
2011029369MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janie.duckworth.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1780967208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 E MEADOW DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044506",
            "telephone_number": "417-689-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65806",
            "telephone_number": "417-831-0150",
            "fax_number": "417-865-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2465 E Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044506",
            "country_code": "US",
            "telephone_number": "417-689-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "MARGARET",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011029369",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011029369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE",
            "identifier": "2011029369",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "CHOATE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.