Individual provider Active NPI

Clara Michelle Lynn Sands, LCSW

  • Clinical Social Worker
  • Nevada, MO
National Provider Identifier
1821628249
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023038631 Issued in MO
Practice address
300 W Cherry St
Nevada, MO 64772-2202
Phone
(417) 448-9437
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 2023038631 MO Primary

Addresses

Primary practice location

300 W Cherry St
Nevada, MO 64772-2202

Mailing address

300 W Cherry St
Nevada, MO 64772-2202
Phone (417) 448-9437

Other practice location 1

1905 Stadium Blvd
Jefferson City, MO 65109-1961
Phone (844) 853-8937

Other practice location 2

320 Mac Blvd
Nevada, MO 64772-3990
Phone (844) 853-8937

Other practice location 3

1500 W Ashland St
Nevada, MO 64772-1710
Phone (417) 667-2666

Other names 1

  • Clara Tipton Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231003002594 MO Practitioner - Clinical Social Worker 9638523053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 W Cherry St
Nevada, MO 64772-2202
Phone (417) 667-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Company X, LLC Clinical CurrentSince Oct 31, 2023 Accepting new patients

Locations

300 W Cherry St
Nevada, MO 64772
Phone (417) 448-9437

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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1821628249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722202",
            "telephone_number": "417-448-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CHERRY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722202",
            "telephone_number": "417-448-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651091961",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Mac Blvd",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723990",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Ashland St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647721710",
            "country_code": "US",
            "telephone_number": "417-667-2666",
            "fax_number": "417-448-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "CLARA",
        "middle_name": "MICHELLE LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023038631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "TIPTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.