Individual provider Active NPI

Mary Kay Schultz, LCSW

  • Clinical Social Worker
  • Sedalia, MO
National Provider Identifier
1649419359
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2014029933 Issued in MO
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

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20151007000449 MO Practitioner - Clinical Social Worker 1951619253 Reassigns benefits to 2 organizations

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
Total Life IncGroup PAC ID 8123433034, 113 clinicians

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

LicenseStateTypeSpecialty
44SL05482000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Sep 25, 2023 Accepting new patients
Total Life FL PA CurrentSince Sep 27, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.