CAROLYN SUE ENDICOTT MSW, LCSW NPI 1013135011

Social Worker (Clinical) in Belleville, IL

NPI 1013135011 Individual Female Years of Experience 26 Social Worker Clinical PECOS Enrolled May Accept Medicare Approved Payment

About CAROLYN ENDICOTT

Carolyn Endicott is a provider established in Belleville, Illinois and her medical specialization is social worker (clinical) with more than 26 years of experience. She graduated from Washington University School Of Medicine in 1996. The NPI number of Carolyn Endicott is 1013135011 and was assigned on April 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 149-008683 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

A clinical social worker like Carolyn Sue Endicott Msw, Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Carolyn Endicott is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)

Carolyn Endicott is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

NPI

1013135011

Provider Name CAROLYN SUE ENDICOTT MSW, LCSW
Provider Location Address2900 FRANK SCOTT PKWY W SUITE 956 BELLEVILLE, IL 62223
Provider Mailing Address2900 FRANK SCOTT PKWY W SUITE 956 BELLEVILLE, IL 62223
GenderFemale
NPI Entity TypeIndividual
Medical School NameWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1996
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-23-2007
Last Update Date09-23-2017


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.149-008683
License StateIL
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

CAROLYN SUE ENDICOTT MSW, LCSW
2900 FRANK SCOTT PKWY W
SUITE 956
BELLEVILLE, IL
ZIP 62223
Phone: (618) 233-3273
Fax: (618) 234-7233

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Mailing Address

CAROLYN SUE ENDICOTT MSW, LCSW
2900 FRANK SCOTT PKWY W
SUITE 956
BELLEVILLE, IL
ZIP 62223
Phone: (618) 233-3273
Fax: (618) 234-7233



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184611212DR. MICHAEL R HESTERBERG D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)2900 FRANK SCOTT PKWY W SUITE 960
BELLEVILLE, IL 62223
(618) 233-8080
1497742407DR. EDGAR J BREDA D.D.S.
Individual
Dentist2900 FRANK SCOTT PKWY W SUITE 960
BELLEVILLE, IL 62223
(618) 233-8080
1225019664MRS. MICHELLE MARIE PAPACHRISANTHOU CPNP
Individual
Nurse Practitioner (Pediatrics)2900 FRANK SCOTT PKWY W #950
BELLEVILLE, IL 62223
(618) 233-3205
1467423426MS. DIANA L APPLETON MSW
Individual
Social Worker (Clinical)2900 FRANK SCOTT PKWY W STE 956B
BELLEVILLE, IL 62223
(618) 235-9092
1639146921 CHRISTOPHER SEAN DUGAN DPM
Individual
Podiatrist (Foot & Ankle Surgery)2900 FRANK SCOTT PKWY W SUITE 900
BELLEVILLE, IL 62223
(618) 277-5700
1548237837 JACALYN K SCHWARZ DPM
Individual
Podiatrist2900 FRANK SCOTT PKWY W SUITE 900
BELLEVILLE, IL 62223
(618) 277-5700
1710955752 KIM MICHAEL REICHERT DPM
Individual
Podiatrist (Foot Surgery)2900 FRANK SCOTT PKWY W SUITE 900
BELLEVILLE, IL 62223
(618) 277-5700
1447228481 ERIC CHRISTOPHER WHITTENBURG DPM
Individual
Podiatrist (Foot & Ankle Surgery)2900 FRANK SCOTT PKWY W SUITE 900
BELLEVILLE, IL 62223
(618) 277-5700
1073572293WOMAN TO WOMAN, P.C.
Organization
Obstetrics & Gynecology2900 FRANK SCOTT PKWY W SUITE 908
BELLEVILLE, IL 62223
(618) 236-7555
1386695690REBECCA HARTFIELD D.M.D., P.C.
Organization
Dentist2900 FRANK SCOTT PKWY W SUITE 968A
BELLEVILLE, IL 62223
(618) 234-7100
1295787836 BETH E RULE LPT
Individual
Physical Therapist2900 FRANK SCOTT PKWY W STE 908
BELLEVILLE, IL 62223
(618) 236-3600
1811935166 JEFFREY S CHALFANT DO
Individual
Psychiatry & Neurology (Psychiatry)2900 FRANK SCOTT PKWY W SUITE 990
BELLEVILLE, IL 62223
(618) 236-6501
1407895824 SCOTT M DORRITY DC
Individual
Chiropractor2900 FRANK SCOTT PKWY W 908
BELLEVILLE, IL 62223
(618) 236-3600
1134168552 CHRISTINA M ANSHUS DC
Individual
Chiropractor2900 FRANK SCOTT PKWY W 908
BELLEVILLE, IL 62223
(618) 236-3600
1477667848 STEPHEN J CLEMENT R.PH.
Individual
Pharmacist2900 FRANK SCOTT PKWY W SUITE 920-B
BELLEVILLE, IL 62223
(618) 234-7181
1164525093DR. MICHAEL E HERRMANN M.D.
Individual
Obstetrics & Gynecology2900 FRANK SCOTT PKWY W SUITE 966
BELLEVILLE, IL 62223
(618) 235-8600
1952406068DR. NICOLE MARIE OBERTO PHARM.D.
Individual
Pharmacist2900 FRANK SCOTT PKWY W SUITE 920-B
BELLEVILLE, IL 62223
(618) 234-7181
1356410427DR. ENRICO T. FARINAS MD
Individual
Pediatrics2900 FRANK SCOTT PKWY W SUITE 950
BELLEVILLE, IL 62223
(618) 233-3205
1154477792MS. CAROL A. STERLING M.A.
Individual
Counselor (Mental Health)2900 FRANK SCOTT PKWY W SUITE 956-A
BELLEVILLE, IL 62223
(618) 624-5796
1982721817DR. TERI LYNN FLEMING D.C.
Individual
Chiropractor2900 FRANK SCOTT PKWY W SUITE 908
BELLEVILLE, IL 62223
(618) 236-3600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.