Individual provider Active NPI

E Sean Meyer, MA, LCSW

  • Clinical Social Worker
  • Hannibal, MO
National Provider Identifier
1508857186
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 002874 Issued in MO
Practice address
235 Progress Rd
Hannibal, MO 63401-6637
Phone
(573) 777-8300
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-002139 IL
Clinical Social Worker 1041C0700X SW 002874 MO Primary

Addresses

Primary practice location

235 Progress Rd
Hannibal, MO 63401-6637

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other identifiers 1

IdentifierTypeStateIssuer
494861610MedicaidMO

Other names 1

  • Ellen Sean O'Connell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000951 MO Practitioner - Clinical Social Worker 7012106453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

235 Progress Rd
Hannibal, MO 63401-6637
Phone (573) 603-1460

3531 Stardust Dr
Hannibal, MO 63401-6224
Phone (573) 603-1460

3557 Stardust Dr
Hannibal, MO 63401-6224
Phone (573) 603-1460

4355 Paris Gravel Rd
Hannibal, MO 63401-6017
Phone (573) 248-3811

4600 McMasters Ave
Hannibal, MO 63401-2244
Phone (573) 603-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-002139ILMDProfessional Counselor
SW 002874MOMDClinical Social Worker
002874MOMDLocal Education Agency (LEA)

Interoperability endpoints

  • Direct secure messaging: ellen.meyer.p1@direct.pfh.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1508857186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PROGRESS RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016637",
            "telephone_number": "573-777-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "E",
        "middle_name": "SEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW 002874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494861610",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "O'CONNELL",
            "middle_name": "SEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.