Active NPI
Raven Lee Collins, LMSW
- Social Worker
- West Plains, MO
National Provider Identifier
1790669950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2024043481
- Practice address
- 1211 Porter Wagoner Blvd # 23
West Plains, MO 65775-1826 - Phone
- (417) 257-6762
- NPI assigned
- Aug 1, 2025
- Sex
- Male
- 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 | 2024043481 | MO | Primary |
Addresses
Primary practice location
1211 Porter Wagoner Blvd # 23
West Plains, MO 65775-1826
Mailing address
1933 County Road 6300
West Plains, MO 65775-5000
Phone (417) 372-3921
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 |
|---|---|---|---|
| 2024043481 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1790669950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 COUNTY ROAD 6300",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657755000",
"telephone_number": "417-372-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 PORTER WAGONER BLVD # 23",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657751826",
"telephone_number": "417-257-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "RAVEN",
"middle_name": "LEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2024043481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.