Active NPI
Thomas C Nixon, LCSW
- Clinical Social Worker
- West Plains, MO
National Provider Identifier
1801098793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005778
- Practice address
- 1801 E. State Route K
West Plains, MO 65775 - Phone
- (573) 686-4151
- Fax
- (417) 256-1119
- NPI assigned
- Jun 3, 2007
- Last updated
- Dec 12, 2013
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005778 | MO | Primary |
Addresses
Primary practice location
1801 E. State Route K
West Plains, MO 65775
Mailing address
1801 E. State Route K
West Plains, MO 65775
Phone (573) 686-4151
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 |
|---|---|---|---|
| 5778 | MO | MD | Addiction (Substance Use Disorder) Counselor |
| 005778 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1801098793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E. STATE ROUTE K",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "573-686-4151",
"fax_number": "417-256-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E. STATE ROUTE K",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "573-686-4151",
"fax_number": "417-256-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-03",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "005778",
"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 Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.