Active NPI
Mary Lillian Kohler, MSW, LMSW
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1952283541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2025026258
- Practice address
- 19 E Walnut St Ste D
Columbia, MO 65203-4505 - Phone
- (573) 442-7232
- Fax
- (877) 307-8772
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- 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 | 2025026258 | MO | Primary |
Addresses
Primary practice location
19 E Walnut St Ste D
Columbia, MO 65203-4505
Mailing address
3400 Balboa LN Apt 11
Columbia, MO 65203-3702
Phone (660) 234-2755
Other names 1
- Lily Carlisi Kohler
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 |
|---|---|---|---|
| 2025026258 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oak Center for DBT & Counseling Services, LLC | Clinical | Current | Accepting new patients |
Locations
19 E Walnut St
Ste D
Columbia, MO 65203
Phone (573) 268-4151
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.
-
- Clinical Social Worker
- Columbia, MO
- NPI 1386242485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1952283541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BALBOA LN APT 11",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033702",
"telephone_number": "660-234-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E WALNUT ST STE D",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034505",
"telephone_number": "573-442-7232",
"fax_number": "877-307-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLER",
"first_name": "MARY",
"middle_name": "LILLIAN",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2025026258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILY",
"last_name": "KOHLER",
"middle_name": "CARLISI",
"credential": "MSW, LMSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.