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MAURICE SHANE ETTER LCSW, CSAC
NPI 1053821884
Social Worker - Clinical in Roanoke, VA

Active since October 06, 2017PECOS EnrolledAccepts Medicare Assignment
504 23RD ST NW, ROANOKE, VA 24017(540) 345-2606(540) 345-2608 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Jan 14, 2020 (2 updates tracked since 2020).

About Maurice Shane Etter Lcsw, Csac NPPES

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

MAURICE SHANE ETTER LCSW, CSAC (NPI 1053821884) is an individual clinical provider in Roanoke, Virginia, licensed in Virginia (0904009951) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053821884
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMAURICE SHANE ETTERCredential: LCSW, CSAC
Location Address504 23RD ST NWRoanoke, VA 24017-5414
Mailing Address2328 Peters Creek Rd Nw Ste 102Roanoke, VA 24017-1621 · (540) 345-2606 · Fax (540) 345-2608
Phone(540) 345-2606
Fax(540) 345-2608
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 6, 2017
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1053821884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904009951✔ Licensed in VA · 1053821884
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
504 23RD ST NW, Roanoke, VA 24017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maurice Shane Etter Lcsw, Csac 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 ID8527325000
PECOS Enrollment IDI20171208002124
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24017 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 2

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

MRS. DEANNA ETTER OLNEY MSW, LMHP-S
Counselor (Mental Health)
504 23RD ST NW
ROANOKE, VA 24017
Roanoke City (540) 345-2606
LORRAINE LYNCH LMSW, LMHP-S
Social Worker
504 23RD ST NW
ROANOKE, VA 24017
Roanoke City (301) 395-2783

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 Maurice Etter's NPI number?

The NPI number for Maurice Etter is 1053821884. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Maurice Etter located?

Maurice Etter practices at 504 23rd St NW, Roanoke, VA 24017. The listed phone number is (540) 345-2606.

What is Maurice Etter's specialty?

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

Is Maurice Etter enrolled in Medicare?

Yes. Maurice Etter 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.

When was this NPI record last updated?

The NPPES record for Maurice Etter was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.