Active NPI
Mary Kay Schultz, LCSW
- Clinical Social Worker
- Sedalia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2014029933
- Practice address
- 821 Westwood Dr
Sedalia, MO 65301-2102 - Phone
- (660) 826-4774
- Fax
- (660) 826-1300
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL05482000 | NJ | |
| Clinical Social Worker | 1041C0700X | 2014029933 | MO | Primary |
Addresses
Primary practice location
821 Westwood Dr
Sedalia, MO 65301-2102
Mailing address
88 Thunder Rd
Buffalo, MO 65622-6406
Phone (609) 510-4007
Other names 1
- Mary Kay Houck
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7280 NW 87TH Ter
Suite 210
Kansas City, MO 64153-3706
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05482000 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients | |
| Inpathy Behavioral Healthcare Group LLC | Past | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
3430 McKelvey Rd
Ste L
Bridgeton, MO 63044
Phone (314) 475-5955
7280 NW 87th Ter
Ste 210
Kansas City, MO 64153
Phone (816) 841-7735
Interoperability endpoints
- mary.kay.schultz.1@24284.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Marlton, NJ
- NPI 1285099325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1649419359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 THUNDER RD",
"city": "BUFFALO",
"state": "MO",
"postal_code": "656226406",
"telephone_number": "609-510-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 WESTWOOD DR",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012102",
"telephone_number": "660-826-4774",
"fax_number": "660-826-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "MARY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05482000",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2014029933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY KAY",
"last_name": "HOUCK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.