Samuel Duer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2009025847 Issued in MO

Practice address

160 N Enterprise LN
Jackson, MO 63755-4106

Phone

(573) 204-9200

Fax

(573) 204-9203

NPI assigned

Mar 29, 2007

Last updated

Apr 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Reliant Healthcare

  • In Home Supportive Care Agency
  • Jackson, MO
  • NPI 1679008106
  NPD (past) Authorized official
• Grace Reliant Health Services, LLC

  • Home Health Agency
  • Cape Girardeau, MO
  • NPI 1013266436
  NPD (past)
• Grace Reliant Healthcare

  dba Grace Reliant Health Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cape Girardeau, MO
  • NPI 1912399254

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1376662304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N ENTERPRISE LN",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637554106",
            "telephone_number": "573-204-9200",
            "fax_number": "573-204-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N ENTERPRISE LN",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637554106",
            "telephone_number": "573-204-9200",
            "fax_number": "573-204-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUER",
        "first_name": "SAMUEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2366-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009025847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Donaldson
• Emily Nicole Dorris, LPC, NCC
• Cassandra Lashea Doss, MSN, FNP-BC
• Violet Mary Doyen, RNC, CLC, IBCLC
• Jerrell Lee Driver, PHD
• Jenny M Eichhorn, MD
• Elite Medical Supply
• Marcy A Emmons, PA-C
• Geoffrey Lee Enders, DPT
• E J Eskew, MS APRN BC

• Clinical Social Worker in Jackson, MO
• Providers in Jackson, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.