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CAROLYN SUE ENDICOTT MSW, LCSW
NPI 1013135011
Social Worker - Clinical in Belleville, IL

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
2900 FRANK SCOTT PKWY W, SUITE 956, BELLEVILLE, IL 62223(618) 233-3273(618) 234-7233 Get Directions Write a Review

NPPES record last updated: September 23, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Sue Endicott Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN SUE ENDICOTT MSW, LCSW (NPI 1013135011) is an individual clinical provider in Belleville, Illinois, licensed in Illinois (149-008683) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1013135011
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLYN SUE ENDICOTTCredential: MSW, LCSW
Location Address2900 FRANK SCOTT PKWY W, SUITE 956Belleville, IL 62223-5000
Mailing Address2900 Frank Scott Pkwy W, Suite 956Belleville, IL 62223-5000 · (618) 233-3273 · Fax (618) 234-7233
Phone(618) 233-3273
Fax(618) 234-7233
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 1996
Enumeration DateApril 23, 2007
Last NPPES UpdateSeptember 23, 2017
✔ NPI 1013135011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149-008683
Definition
A 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.
2900 FRANK SCOTT PKWY W, Belleville, IL 62223
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Other Names 1

Professional Name (2)Mrs. Carolyn Sue Plog Msw, Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Sue Endicott Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426314972
PECOS Enrollment IDI20171116000043
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Endicott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Live Well Counseling Services
23 mi
Clinical
13317 COUNTY HIGHWAY 12
Venedy, IL 62214
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1881055838 (618) 317-1537

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
285 services30 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
66 services16 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
65 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $173.35
Typical copayment $0.00 (range $14.07 – $43.33)
Most-billed visit code NA
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELDON TRAME M.D.
Internal Medicine
2900 FRANK SCOTT PKWY W, SUITE 904
BELLEVILLE, IL 62223
St. Clair County (618) 234-0640
MS. RUDABA KHALID PT
Physical Therapist
2900 FRANK SCOTT PKWY W
BELLEVILLE, IL 62223
St. Clair County (618) 607-5103
WOMAN TO WOMAN, P.C.
Obstetrics & Gynecology
2900 FRANK SCOTT PKWY W, SUITE 908
BELLEVILLE, IL 62223
St. Clair County (618) 236-7555
SOUTHERN ILLINOIS OTOLARYNGOLOGY, LTD
Otolaryngology
2900 FRANK SCOTT PKWY W, SUITE 930
BELLEVILLE, IL 62223
St. Clair County (618) 235-8082
DR. AMANDA M HART DPM
Podiatrist (Foot & Ankle Surgery)
2900 FRANK SCOTT PKWY W, SUITE 900
BELLEVILLE, IL 62223
St. Clair County (618) 277-5700
CHRISTINA M ANSHUS DC
Chiropractor
2900 FRANK SCOTT PKWY W, 908
BELLEVILLE, IL 62223
St. Clair County (618) 236-3600
MS. CAROL A. STERLING M.A.
Counselor (Mental Health)
2900 FRANK SCOTT PKWY W, SUITE 956-A
BELLEVILLE, IL 62223
St. Clair County (618) 624-5796
DR. MICHAEL E HERRMANN M.D.
Obstetrics & Gynecology
2900 FRANK SCOTT PKWY W, SUITE 966
BELLEVILLE, IL 62223
St. Clair County (618) 235-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Endicott's NPI number?

The NPI number for Carolyn Endicott is 1013135011. It was assigned to this individual provider in the NPPES registry on April 23, 2007. The provider is also known as Mrs. Carolyn Sue Plog Msw, Lcsw.

Where is Carolyn Endicott located?

Carolyn Endicott practices at 2900 Frank Scott Pkwy W Suite 956, Belleville, IL 62223. The listed phone number is (618) 233-3273.

What is Carolyn Endicott's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carolyn Endicott enrolled in Medicare?

Yes. Carolyn Endicott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carolyn Endicott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Endicott reassigns Medicare benefits to Live Well Counseling Services (Venedy, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Endicott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Endicott accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Carolyn Endicott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Endicott was last updated on September 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.