Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083452577 Individual Practitioner Female Practitioner

Nicole R Wilson , MSW, LMSW

Social Worker • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Nicole Wilson, MSW, LMSW is a registered healthcare professional specializing in Social Worker in Springfield, MO. Practice services are available at 630 W KEARNEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 W Kearney St

Springfield, MO 658032508

Telephone 4177615000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.8 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Springfield, MO (1936 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MO 2024024817

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jayaprabha Lafontaine , MD

Psychiatry & Neurology - Psychiatry

NPI 1003257833

Doctor of Medicine (M.D.)

Allison Robertson , MSW, LCSW

Social Worker - Clinical

NPI 1003505579

Master of Social Work, Licensed Clinical Social Worker

Jessica Aldrich , LMSW

Social Worker - Clinical

NPI 1003636150

Licensed Master Social Worker

Dr. Charles Thomas , MD

Psychiatry & Neurology - Psychiatry

NPI 1003812074

Doctor of Medicine (M.D.)

Deirdra Harris , MS, LPC

Counselor - Professional

NPI 1013207158

Master of Science, Licensed Professional Counselor

Michael Cotter , MS, LPC

Counselor - Professional

NPI 1013427657

Master of Science, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 21, 2026

Registered at 630 W KEARNEY ST, SPRINGFIELD, MO 658032508 (Tel: 4177615000)

👤
Provider Name / Credentials Updated July 21, 2026

Recorded as NICOLE WILSON, MSW, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2026

Social Worker (License #2024024817 in MO)

👤
Provider Name / Credentials Updated February 11, 2026

Recorded as NICOLE WILSON, LMSW

NPI Profile Active July 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2024

Registered at 1423 N JEFFERSON AVE FL 3, SPRINGFIELD, MO 658021917 (Tel: 4177615000)

📍
Updated Business Mailing Address July 18, 2024

Registered at PO BOX 844715, KANSAS CITY, MO 641844715 (Tel: 4177615214)

👤
Provider Name / Credentials Updated July 18, 2024

Recorded as NICOLE BASS, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2024

Social Worker (License #2024024817 in MO)

🟢
Initial NPI Registration & Enumeration July 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083452577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2024
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

Po Box 844715

Kansas City, MO 641844715

Phone: 4177615214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.