MR. JOHN ROBERT PRUETT (NPI# 1225661945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225661945 |
| Entity Type | Individual |
| Full Name | MR. JOHN ROBERT PRUETT |
| Credential | LCSW |
| Practice Address |
146 Communication Dr Hannibal MO 63401-3672 |
| Practice Telephone | 5732481196 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2009003215 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760508436 | John Parr Pruett | Dentist | 384 Hartnell Ave, Suite B, Redding, CA 96002-1884 | 2007-03-22 |
| 1184283525 | John Pruett | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2019-06-10 |
| 1518495753 | John Thomas Pruett | Social Worker | 100 Teptal Ter, Bryson City, NC 28713-5479 | 2017-06-01 |
| 1104039494 | John H Pruett Jr. | Counselor | 602 Abbey Ct, Alpharetta, GA 30004-6005 | 2007-05-07 |
| 1134146632 | John Robert Pruett Jr. | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Ste 2600, Saint Louis, MO 63108-2212 | 2006-07-17 |
| 1881623106 | John W Pruett | Psychiatry & Neurology | 1240 E 9th St, Reno, NV 89512-2964 | 2006-06-30 |
| Street Address |
146 COMMUNICATION DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718609 | Hannibal Council On Alcohol & Drug Abuse | Clinic/Center | 146 Communication Dr, Hannibal, MO 63401-3672 | 2013-05-31 |
| 1740636067 | Hannibal Council On Alcohol and Drug Abuse | Clinic/Center | 146 Communication Dr, Hannibal, MO 63401-3672 | 2016-05-05 |
| 1225475262 | Hannibal Council On Alcohol & Drug Abuse | Clinic/Center | 146 Communication Dr, Hannibal, MO 63401-3672 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| 1750586103 | White Oak Counseling, LLC | Social Worker | 1221 Market St, Hannibal, MO 63401-4014 | 2007-06-17 |
| 1215024781 | Carrie Eizenga Danner | Social Worker | 3700 Highway Mm, Hannibal, MO 63401-3602 | 2006-10-06 |
| 1891353538 | Elizabeth Dawn Crane | Social Worker | 154 Forrest Dr, Hannibal, MO 63401-5511 | 2019-05-29 |
| 1346722600 | Jerry Michael Best | Social Worker | 154 Forrest Dr, Hannibal, MO 63401-5503 | 2018-09-04 |
| 1871000919 | Jenna Wonish | Social Worker | 141 Communication Dr, Hannibal, MO 63401 | 2018-01-10 |
| 1902325327 | Kathleen Gerding | Social Worker | 653 Clinic Rd, Hannibal, MO 63401-3607 | 2017-09-18 |
| 1780035832 | Dena Hagen | Social Worker | 141 Communication Dr, Hannibal, MO 63401-3670 | 2016-06-29 |
| 1720437130 | Jessica Lynn Lang | Social Worker | 917 Broadway, Hannibal, MO 63401-4200 | 2016-06-07 |
| 1740639202 | Jerry Neil Spurgeon | Social Worker | 917 Broadway, Hannibal, MO 63401-4200 | 2016-06-06 |
| Find all providers in HANNIBAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.