Active NPI
Sara Noennig, LCSW
- Clinical Social Worker
- Perryville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2021048802
- Practice address
- 12 N Kingshighway St Ste 101
Perryville, MO 63775-1367 - Phone
- (573) 547-3116
- NPI assigned
- May 13, 2014
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2021048802 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 149.016539 | IL |
Addresses
Primary practice location
12 N Kingshighway St Ste 101
Perryville, MO 63775-1367
Mailing address
12 N Kingshighway St Ste 101
Perryville, MO 63775-1367
Phone (573) 547-3116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nch@spartahospital.hin.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399
1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220
206 Hospital LN
Perryville, MO 63775-1382
210 Hospital LN
Perryville, MO 63775-4200
210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285
212 Hospital LN
Perryville, MO 63775-4204
434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536
624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016539 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Perry | Current | Accepting new patients | |
| Comwell | Clinical | Current | Accepting new patients |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Clinic Adult Psychiatry, LLC | Current | Accepting new patients | |
| Mercy Hospital Perry | Past | Accepting new patients |
Locations
10257 State Route 3
Red Bud, IL 62278
Phone (618) 282-6233
12 N Kingshighway St
#101
Perryville, MO 63775
Phone (573) 547-3116
212 Hospital Ln
Ste 101
Perryville, MO 63775
Phone (573) 547-7888
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
-
- Psychiatry Physician
- Festus, MO
- NPI 1750788972
-
dba Mercy Hospital Perry - RHC I
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
dba Mercy Hospital Perry - RHC II
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1215613880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1730590787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N KINGSHIGHWAY ST STE 101",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751367",
"telephone_number": "573-547-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N KINGSHIGHWAY ST STE 101",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751367",
"telephone_number": "573-547-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOENNIG",
"first_name": "SARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2021048802",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016539",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nch@spartahospital.hin.us",
"affiliation": "N",
"address_1": "1300 N Market St",
"city": "Sparta",
"state": "IL",
"country_code": "US",
"postal_code": "622861048",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.