TASHA LYNN WISDOM LCSW
NPI 1730450156
Social Worker - Clinical in Ellington, MO

Q: What is Tasha Wisdom's NPI number?

The NPI number for Tasha Wisdom is 1730450156. It was assigned to this individual provider in the NPPES registry on January 17, 2012.

Q: What is Tasha Wisdom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tasha Wisdom was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2012PECOS EnrolledAccepts Medicare Assignment

315 E WALNUT ST, ELLINGTON, MO 63638(573) 663-2644 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, May 22, 2019 (2 updates tracked since 2019).

On this page

About Tasha Lynn Wisdom Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TASHA LYNN WISDOM LCSW (NPI 1730450156) is an individual clinical provider in Ellington, Missouri, licensed in Missouri (2014018308) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730450156

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTASHA LYNN WISDOMCredential: LCSW

Location Address315 E WALNUT STEllington, MO 63638

Mailing Address315 E Walnut StEllington, MO 63638-7943 · (573) 663-2644

Phone(573) 663-2644

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 17, 2012

Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1730450156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2014018308

Definition

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.

315 E WALNUT ST, Ellington, MO 63638

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tasha Lynn Wisdom Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608193651

PECOS Enrollment IDI20150331002659

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.28 – $161.24

Typical copayment $0.00 (range $13.07 – $40.31)

Most-billed visit code NA

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON BRAWLEY MS, NCC,LPC

Counselor (Professional)