Active NPI
Suzanne Marie Heinzl Mullins, LCSW
- Clinical Social Worker
- O'Fallon, IL
National Provider Identifier
1851695027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.014391
- Practice address
- 820 W Highway 50 Ste B
O Fallon, IL 62269-1827 - Phone
- (618) 577-0951
- NPI assigned
- Jan 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.014391 | IL | Primary |
Addresses
Primary practice location
820 W Highway 50 Ste B
O Fallon, IL 62269-1827
Mailing address
46 Grainey Dr
Glen Carbon, IL 62034-3217
Phone (618) 577-0951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110411000064 | IL | Practitioner - Clinical Social Worker | 9133303563 | Practice locations: O Fallon, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1115 Frontage Rd
Suite B
O Fallon, IL 62269-2093
820 W Hwy 50
O Fallon, IL 62269-1827
Phone (618) 577-0951
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.014391 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1851695027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 GRAINEY DR",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343217",
"telephone_number": "618-577-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W HIGHWAY 50 STE B",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691827",
"telephone_number": "618-577-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "SUZANNE",
"middle_name": "MARIE HEINZL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.014391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.