Individual provider Active NPI

Joseph William Reynolds IV, LMSW

  • Social Worker
  • Waynesville, MO
National Provider Identifier
1932893526
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2023018578 Issued in MO
Practice address
704 Historic Route 66 W
Suite 101
Waynesville, MO 65583
Phone
(573) 433-4846
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2023018578 MO Primary

Addresses

Primary practice location

704 Historic Route 66 W
Suite 101
Waynesville, MO 65583

Mailing address

166 Bosa Dr
Saint Robert, MO 65584-4643
Phone (573) 528-3510

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
I20260112000336 MO Practitioner - Clinical Social Worker 4789160524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Connections, LLCGroup PAC ID 6507250677, 9 clinicians

Practice addresses (Care Compare)

704 Historic 66
Suite 101
Waynesville, MO 65583-8322
Phone (573) 433-4846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023018578MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Connections, LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

103 W 10th St
Rolla, MO 65401
Phone (573) 433-4846

704 Route 66 W
Ste 101
Waynesville, MO 65583
Phone (573) 433-4846

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1932893526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BOSA DR",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844643",
            "telephone_number": "573-528-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HISTORIC ROUTE 66 W",
            "address_2": "SUITE 101",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "65583",
            "telephone_number": "573-433-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2023018578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

Verify at the official NPI Registry.