Individual provider Active NPI

Karen Maccausland, LCSW

  • Clinical Social Worker
  • Saint Peters, MO
National Provider Identifier
1972654218
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW001086 Issued in MO
Practice address
4045 N Saint Peters Pkwy Ste 108
Saint Peters, MO 63304-7398
Phone
(636) 928-5800
Fax
(636) 441-3902
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 SW001086 MO Primary

Addresses

Primary practice location

4045 N Saint Peters Pkwy Ste 108
Saint Peters, MO 63304-7398

Mailing address

4045 N Saint Peters Pkwy Ste 108
Saint Peters, MO 63304-7398
Phone (636) 928-5800

Other identifiers 1

IdentifierTypeStateIssuer
43.1834746OtherMOTAX IDENTIFICATION NUMBER

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
I20120116000195 MO Practitioner - Clinical Social Worker 9537196746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4045 N Saint Peters Pkwy
Saint Peters, MO 63304-7398
Phone (636) 928-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW001086MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Maccausland, P.C. CurrentSince Dec 30, 1999 Accepting new patients

Locations

1286 Jungermann Rd
Ste G
Saint Peters, MO 63376
Phone (636) 498-0700

4045 N Saint Peters Pkwy
Ste 108
Saint Peters, MO 63304
Phone (636) 928-5800

4045 N Saint Peters Pkwy
Saint Peters, MO 63304
Phone (636) 441-3466

1272 Jungermann Rd
Ste C
Saint Peters, MO 63376
Phone (636) 928-5800

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1972654218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 N SAINT PETERS PKWY STE 108",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047398",
            "telephone_number": "636-928-5800",
            "fax_number": "636-441-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 N SAINT PETERS PKWY STE 108",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047398",
            "telephone_number": "636-928-5800",
            "fax_number": "636-441-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCAUSLAND",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW001086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "43.1834746",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.