Susan L Ecker, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Maryville, MO
NPI 1386765576 · NPPES record last updated May 26, 2016
Key facts
- NPI
- 1386765576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2007005136 (MO)
- Practice address
- 2416 S Main St
Maryville, MO 64468-3624 - Phone
- (660) 562-2352
- Fax
- (660) 562-2933
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Waubonsie Mental Health Center Inc
Practice addresses (Care Compare)
216 W Division St
Clarinda, IA 51632-2509
Phone (712) 542-2388
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120221000477 | IA | Practitioner - Clinical Social Worker | 2163529462 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007005136 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waubonsie Mental Health Center Inc | Current |
Accepting new patients |
Locations
216 W Division St
Clarinda, IA 51632
Phone (712) 542-5676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007005136 | MO | Yes |
Addresses
Primary practice location
2416 S Main St
Maryville, MO 64468-3624
Mailing address
11334 Bobcat Rd
Elmo, MO 64445-8135
Phone (660) 742-3416
Other providers in Maryville, MO
- Caroline Fogel Cunningham
- Jane L. Dawson
- Patrick S. Dawson
- Lorraine M Dodson
- Dva Renal Healthcare Inc
- Elizabeth Ann Elston
- Emergency Practice Associates, Inc.
- Madison Emery
- Megan Epperly
- Pamela L Euler
All providers in Maryville, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.