Healthcare Provider Details

I. General information

NPI: 1811381031
Provider Name (Legal Business Name): SHERRI PLOWMAN-MULLIKIN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRI EPPERSON

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N LINCOLN AVE # G
MONETT MO
65708-1641
US

IV. Provider business mailing address

1300 E BRADFORD PKWY
SPRINGFIELD MO
65804-4264
US

V. Phone/Fax

Practice location:
  • Phone: 417-354-1500
  • Fax: 417-354-1505
Mailing address:
  • Phone: 417-761-5000
  • Fax: 417-761-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2015006672
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2017031326
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: