Individual provider Active NPI

Susan Langstraat, LCSW

  • Clinical Social Worker
  • Fulton, MO
National Provider Identifier
1902860042
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002649 Issued in MO
Practice address
2151 County Road 228
Fulton, MO 65251-3449
Phone
(573) 999-6207
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002649 MO Primary

Addresses

Primary practice location

2151 County Road 228
Fulton, MO 65251-3449

Mailing address

2151 County Road 228
Fulton, MO 65251-3449
Phone (573) 999-5207

Other identifiers 1

IdentifierTypeStateIssuer
1902860042MedicaidMO

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
I20040827000896 MO Practitioner - Clinical Social Worker 3476528027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2151 County Rd
Suite 228
Fulton, MO 65251-3449
Phone (573) 999-6207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Langstraat LCSW LLC CurrentSince Nov 17, 2022 Accepting new patients
The Counseling Hub LLC CurrentSince Oct 30, 2024 Accepting new patients

Locations

2804 Forum Blvd
Ste 4
Columbia, MO 65203
Phone (573) 446-5034

Organizations & group practices 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1902860042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 COUNTY ROAD 228",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652513449",
            "telephone_number": "573-999-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 COUNTY ROAD 228",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652513449",
            "telephone_number": "573-999-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTRAAT",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902860042",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

Verify at the official NPI Registry.