Krystal L Witthaus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2008028021 Issued in MO

Practice address

123 Bavarian Hills PLZ
Hermann, MO 65041-1613

Phone

(573) 486-2118

Fax

(573) 486-3533

NPI assigned

Jun 15, 2009

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/

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

• Hermann Area Hospital District

  dba Hermann Area District Hospital

  • Family Medicine Physician
  • Hermann, MO
  • NPI 1083749188
  Medicare reassignment NPD
• Hermann Area Hospital District

  dba Hermann Area District Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Hermann, MO
  • NPI 1679648661
  NPD
• Hermann Area Hospital District

  dba Southwest Medical Associates

  • Clinic/Center
  • Hermann, MO
  • NPI 1790810729
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1851528087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650410019",
            "telephone_number": "573-486-1193",
            "fax_number": "573-486-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BAVARIAN HILLS PLZ",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411613",
            "telephone_number": "573-486-2118",
            "fax_number": "573-486-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTHAUS",
        "first_name": "KRYSTAL",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2008028021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelyn Lee Wagner, OTRL
• Kenneth R Wehrenberg, DMD MS
• Mallory Kate Williams
• Stephanie Williams
• Tracy Lynn Williams, PT

• Clinical Social Worker in Hermann, MO
• Providers in Hermann, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.