MR. JOSEPH LEE HACKWORTH (NPI# 1740586551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740586551 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH LEE HACKWORTH |
| Credential | PLCSW |
| Practice Address |
510 Chippewa St #102 West Plains MO 65775-3808 |
| Practice Telephone | 4172579152 |
| Practice Fax Number | 4172579162 |
| Mailing Telephone | 4172579152 |
| Mailing Fax Number | 4172579162 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2009026527 | MO | Behavioral Health & Social Service Providers |
| Street Address |
510 CHIPPEWA ST #102 |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558498014 | Karen Marie Will | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2007-02-28 |
| 1063071546 | Cretia Lynne Ussery | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-06-10 |
| 1144792870 | Matthew Koelling | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-12-19 |
| 1972022242 | Angela Dyer | Counselor | 3411 Division Dr, West Plains, MO 65775 | 2017-09-18 |
| 1689190654 | Earl Brown Jr. | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-08-21 |
| 1750827028 | Michelle Bryan | Counselor | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2017-01-11 |
| 1235516766 | Brandy Peek | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2015-05-05 |
| 1700272754 | Jennifer Wilkins | Counselor | 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 | 2015-04-07 |
| 1831533116 | James L Gillum | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2013-04-17 |
| 1053558338 | Jeannie Rhoads-ashley | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2009-01-08 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on MR. JOSEPH LEE HACKWORTH.
| 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.