TABLE ROCK COUNSELING LLC NPI 1447231808

NPI Information

  • NPI: 1447231808
  • Provider Name: TABLE ROCK COUNSELING, LLC
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 67 BISHOP LN
    KIMBERLING CITY, MO
    ZIP 65686
  • Phone: (417) 230-1279

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NPI Details

TABLE ROCK COUNSELING, LLC is a social worker in Kimberling City, MO. The provider is 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. TABLE ROCK COUNSELING, LLC NPI is 1447231808. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

67 BISHOP LN
KIMBERLING CITY, MO
ZIP 65686-818
Phone: (417) 230-1279
Fax: (417) 739-1360

The provider's authorized official is Laurie Jean Domsch .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (417) 272-0055.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 5/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalMO 004512MISSOURINo
2104100000XSocial WorkerMO 004512MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11144201104MEDICAIDMISSOURI
21447231868MEDICARE UPINMISSOURI
31144201104MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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