NPIMap

Organization Active NPI

Clark Community Mental Health Center

  • Clinical Social Worker
  • Monett, MO
National Provider Identifier
1881731230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2002007548 Issued in MO
Legal business name
CLARK COMMUNITY MENTAL HEALTH CENTER
Practice address
307 4TH St
Monett, MO 65708-2316
Phone
(417) 235-6610
Fax
(417) 236-0058
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carolyn B Yocum
Title
Social Worker
Phone
(417) 235-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2002007548 MO Primary

Addresses

Primary practice location

307 4TH St
Monett, MO 65708-2316

Mailing address

307 4TH St
Monett, MO 65708-2316
Phone (417) 235-6610

National Provider Directory

National Provider Directory
Tax ID family
Clark Community Mentalhealth Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

307 4th St
Monett, MO 65708
Phone (417) 235-3683

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881731230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 4TH ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082316",
            "telephone_number": "417-235-6610",
            "fax_number": "417-236-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 4TH ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082316",
            "telephone_number": "417-235-6610",
            "fax_number": "417-236-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOCUM",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "417-235-6610"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2002007548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.