Organization Active NPI

Mary C. Turner MSW LCSW CCDP-D, LLC

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1982172235
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARY C. TURNER MSW LCSW CCDP-D, LLC
Practice address
1310 E. Kingsley St. C
Springfield, MO 65804-7216
Phone
(417) 882-7700
Fax
(417) 885-3956
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Mrs. Mary Catherine Turner, LCSW, MSW, CCDPDNPI 1326415209
Title
Executive Director
Phone
(417) 882-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1310 E. Kingsley St. C
Springfield, MO 65804-7216

Mailing address

1310 E. Kingsley St. C
Springfield, MO 65804-7216
Phone (417) 882-7700

Other identifiers 1

IdentifierTypeStateIssuer
490052454MedicaidMO

Other names 1

  • Family Therapy of the Ozarks Doing business as

National Provider Directory

National Provider Directory

Locations

1310 E Kingsley St
Ste Bc
Springfield, MO 65804
Phone (417) 882-7700

1310 E Kingsley St
Ste D
Springfield, MO 65804
Phone (417) 882-7700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1982172235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E. KINGSLEY ST. C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-882-7700",
            "fax_number": "417-885-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E. KINGSLEY ST. C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-882-7700",
            "fax_number": "417-885-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C. TURNER MSW LCSW CCDP-D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-882-7700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, MSW, CCDPD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490052454",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Therapy of the Ozarks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.