Healthcare Provider Details

I. General information

NPI: 1083452577
Provider Name (Legal Business Name): NICOLE R WILSON MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE R BASS MSW, LMSW

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W KEARNEY ST
SPRINGFIELD MO
65803-2508
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 417-761-5000
  • Fax:
Mailing address:
  • Phone: 417-761-5214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2024024817
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: