Individual provider Active NPI

William Charles David Dry, MSW, LMSW

  • Social Worker
  • Springfield, MO
National Provider Identifier
1972362630
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2023040266 Issued in MO
Practice address
614 South Ave
Springfield, MO 65806-3110
Phone
(417) 896-9011
Fax
(417) 889-6307
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 2023040266 MO Primary

Addresses

Primary practice location

614 South Ave
Springfield, MO 65806-3110

Mailing address

614 South Ave
Springfield, MO 65806-3110
Phone (417) 896-9011

Other practice location 1

1200 E Woodhurst Dr Ste L100
Springfield, MO 65804-4260
Phone (417) 531-5660

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
I20250516000523 MO Practitioner - Clinical Social Worker 0244758928 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Apr 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 21, 2025 Accepting new patients
Betty and Bobby Allison Ozarks Counseling Center CurrentSince Mar 17, 2024 Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1312 E Lark St
#L
Springfield, MO 65804
Phone (417) 820-3707

640 E Cherry St
Springfield, MO 65897
Phone (417) 837-2270

Organizations & group practices 5

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1972362630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SOUTH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658063110",
            "telephone_number": "417-896-9011",
            "fax_number": "417-889-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SOUTH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658063110",
            "telephone_number": "417-896-9011",
            "fax_number": "417-889-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Woodhurst Dr Ste L100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044260",
            "country_code": "US",
            "telephone_number": "417-531-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRY",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES DAVID",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2023040266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.