Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

State of Missouri

Organization Clinical Social Worker · NPI 1396798237

State of Missouri is a Clinical Social Worker in El Dorado Springs, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1301 Industrial Pkwy E
El Dorado Springs, MO 64744-6263
Phone: (417) 876-1002
Fax: (417) 876-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1396798237
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Southwest Mo Psychiatric Rehabilitation Center; Southwest Mo Psychiatric Rehabilitation Center
NPI enumeratedMay 19, 2006
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

Other providers in El Dorado Springs