Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AUDRI DETLOR LMSW
NPI 1811804149
Social Worker in Bolivar, MO

Q: What is Audri Detlor's NPI number?

The NPI number for Audri Detlor is 1811804149. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Q: What is Audri Detlor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Audri Detlor was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 August 24, 2026

104 W JACKSON ST STE B, BOLIVAR, MO 65613(417) 327-0873 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Audri Detlor Lmsw NPPES

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

AUDRI DETLOR LMSW (NPI 1811804149) is an individual social worker in Bolivar, Missouri, licensed in Missouri (2026039585) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1811804149

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAUDRI DETLORCredential: LMSW

Location Address104 W JACKSON ST STE BBolivar, MO 65613-1902

Mailing Address1400 S Hedgewood DrBolivar, MO 65613-2784

Phone(417) 327-0873

Sole ProprietorNo

Enumeration DateAugust 24, 2026

NPPES CertifiedAugust 24, 2026

✔ NPI 1811804149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MO · 2026039585

Definition

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.

104 W JACKSON ST STE B, Bolivar, MO 65613

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

GRAINGER COUNSELING LLC

Social Worker (Clinical)

104 W JACKSON ST STE B
BOLIVAR, MO 65613

Polk County (417) 413-3464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audri Detlor's NPI number?

The NPI number for Audri Detlor is 1811804149. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Audri Detlor located?

Audri Detlor practices at 104 W Jackson St Ste B, Bolivar, MO 65613. The listed phone number is (417) 327-0873.

What is Audri Detlor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Audri Detlor was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.